Explorer Travel Insurance Policy Wording P Platinum and Platinum MediPlus Cover explorerinsurance.co.uk Platinum and Platinum MediPlus Explorer Travel Insurance Policy Document Underwritten by Solid Forsakringsaktiebolag This insurance is provided by Explorer Travel Insurance which is a trading style of Explorer Insurance Services Limited. Registered in England and Wales No: 7496730. Registered Office: Millhouse, 32-38 East Street, Rochford, SS4 1DB. Authorised and regulated by the Financial Conduct Authority (FCA). FCA Firm Reference Number: 583108 Contents Page number Policy summary – travel insurance including Schedule of Benefits and Excesses 2 Policy Wording 7 Introduction 7 Definitions 8 General conditions applicable to the whole policy 11 Claims conditions 12 Important conditions relating to health 13 Medical screening 14 What is not covered - applicable to all sections of the policy 14 Sports and activities covered 15 Emergency and medical service 16 Reciprocal health agreements with other countries 17 Section A – Cancellation or curtailment charges 17 Section B – Emergency medical and other expenses 19 Section C – Hospital benefit 21 Section D – Personal accident 22 Section E – Baggage 23 Section F – Personal money, passport and travel documents 24 Section G – Personal liability 25 Section H – Delayed departure or abandonment of trip 26 Section I – Missed departure on your outward journey 28 Section J – Catastrophe 28 Section K – Legal expenses 29 Section L – Hijack 30 Section M – Mugging 30 Section N – Withdrawal of Services 30 Section O1 – Ski equipment (owned) 31 Section O2 – Ski equipment hire 33 Section O3 – Ski pack 33 Section O4 – Piste closure 34 Section O5 – Delay due to avalanche 34 Section P1 – Golf equipment (owned) 35 Section P2 – Hole-in-one 36 Section P3 – Golf course closure 36 Section Q1 – Business equipment 37 Section Q2 – Business equipment hire 38 Section Q3 – Business money 39 Section R – Wedding/Civil partnership cover 40 Section S1 – Missed port departure 42 Section S2 – Cabin confinement 43 Section S3 – Itinerary change 43 Section S4 – Unused cruise excursions 43 Section S5 – Cruise interruption 44 Making a complaint 45 1 Policy Summary – Explorer Travel Insurance Platinum and Platinum MediPlus – Solid Forsakringsaktiebolag • • • • This policy summary does not contain full details and conditions of your insurance – these are located in your policy wording. This insurance is underwritten by Solid Forsakringsaktiebolag. This insurance is provided by Explorer Travel Insurance which is a trading style of Explorer Insurance Services Limited, registered in England and Wales No: 7496730. Registered Office: Millhouse, 32-38 East Street, Rochford, SS4 1DB. Authorised and regulated by the Financial Conduct Authority (FCA). FCA Firm Reference Number: 583108 Where a heading is underlined in this Policy Summary full details can be found in your policy wording under the same heading. Type of insurance and cover Travel Insurance for single and annual multi trips - Please refer to your Certificate of Insurance for your selected cover. This policy document is for Platinum or Platinum MediPlus policies - Your Certificate of Insurance will show which policy type has been purchased. Various optional covers may also be included – Your Certificate of Insurance will show if you selected these options. Policy Eligibility This policy is only available to you if you are permanently resident in the United Kingdom and registered with a medical practitioner in the United Kingdom. You must be in the United Kingdom at the time of purchasing this policy and before starting your trip. Any trip that has already begun when you purchase this insurance will not be covered. Age Eligibility – Single Trip There is no upper age limit for single trip policies. Age Eligibility – Annual Multi Trip Platinum policies are not available to anyone aged 80 years or over if annual multi trip cover is selected. If you reach the age of 80 years during the period of insurance, cover will continue until the next renewal date but not after that. Platinum MediPlus policies are not available to anyone aged 71 years or over if annual multi trip cover is selected. If you reach the age of 71 years during the period of insurance, cover will continue until the next renewal date but not after that. Your Certificate of Insurance will show which policy type has been purchased. Conditions • It is essential that you refer to the ‘Important conditions relating to health’ on page 13 in the policy wording, as failure to comply with these conditions may jeopardise your claim or cover. • If you are travelling to Australia and you require medical treatment you must enrol with a local Medicare office. • If you are travelling to countries within Europe (EU, EEA or Switzerland) you are strongly advised to obtain a European Health Insurance Card (EHIC) and take it with you. You can apply for an EHIC online at www.ehic.org.uk. Special conditions apply to each section of your policy - Please refer to the policy wording for full details. Significant features and benefits • War risks, civil commotion and terrorism – cover for these events is provided under Section B – Emergency medical and other expenses, Section C – Hospital benefit and Section D – Personal accident (unless caused by nuclear, chemical or biological attack) – Please see paragraph 1. in the ‘What is not covered’ section - applicable to all sections of the policy on page 14 in the policy wording for full details. • The Schedule of Benefits shows the maximum amount you can claim for each insured person (unless otherwise stated). 2 Some sections are optional and these are marked* - Your Certificate of Insurance will show if you selected any of these options. A Section Cancellation or curtailment* Limits £5,000 Excess £75 (£20 Emergency medical and other expenses Emergency dental treatment Additional accommodation and travelling costs Funeral expenses abroad Hospital benefit £10,000,000 £200 £5,000 £2,500 £25 per complete 24 hour period up to £1,000 £25,000 £25,000 £75 Nil Nil £75 Nil £25,000 £25,000 £5,000 £2,000 £250 £250 (£125 under 18 years) £50 per complete 24 hour period up to £250 £500 Nil Nil Nil £75 £250 (£75 under 18 years) £150 £2,000,000 £25 for the first 12 hours, £20 for each additional complete 12 hour period thereafter up to a maximum of £200 £5,000 £1,000 £1,000 £25,000 £50 per day up to £500 £50 per day up to £500 £50 per day up to £500 Nil Nil £75 Nil £1,000 £400 £250 £25 per day up to £150 £25 per day up to £250 £25 per day up to £250 £100 per day up to £300 £75 £75 £1,000 £300 £250 £75 £150 £75 £75 loss of deposit) B C D E F G H Personal accident Permanent Total Disablement Loss of one or more limbs, or total and irrecoverable Loss of Sight in one or both eyes Death benefit (aged 18 – 75) Death benefit (aged under 18 or over 75) Baggage* Single article limit Total for all valuables Emergency replacement of baggage (outward journey only Personal money, passport and travel documents * Cash Limit Passport & Travel documents Personal liability Delayed departure after 12 hours delay Abandonment of trip after 12 hours delay I Missed departure on your outward journey J Catastrophe K Legal expenses L Hijack M Mugging N Withdrawal of service Winter sports cover* (Up to 17 days for annual multi trip policies) O1 Ski equipment (owned) Ski equipment (hired) Single article limit O2 Ski equipment hire O3 Ski pack O4 Piste closure O5 Delay due to avalanche Golf cover* P1 Golf equipment Golf equipment (hired) Golf cover Single Article limit P2 Hole-in-one P3 Golf course closure Business extension* Q1 Business equipment Replacement business samples limit Business single article limit Q2 Business equipment hire Q3 Business money Wedding/Civil partnership extension* R Wedding/Civil partnership Wedding/Civil partnership rings Wedding/Civil partnership photography Wedding/Civil partnership gifts Wedding/Civil partnership attire Wedding/Civil partnership cosmetics, hairstyling & flowers 3 Nil Nil Nil £75 £75 £75 Nil £75 Nil Nil Nil Nil Nil Nil Nil Nil Nil £2,000 £1,000 £1,000 £100 per day up to £500 £75 £75 £1,000 £75 £500 £500 £1,500 £2,000 £75 £75 £75 £75 £500 £75 Nil Section CruisePlus extension* S1 Missed port departure S2 Cabin confinement S3 Itinerary change S4 Unused cruise excursions S5 Cruise interruption 3a Limits Excess £1,000 £100 per day up to £500 £150 per port up to £500 £500 £1,000 £75 Nil Nil £75 £75 Significant or unusual limitations or what is not covered • The standard excesses will be shown within your policy wording. Any increased excess or excess waiver will be shown on the Certificate of Insurance with any increased amount you have agreed to pay. • Under annual multi trip policies, trips are limited to 45 days for anyone aged up to 65 years. For anyone aged 66 years and over, trips are limited to 31 days. • Any trip that has already begun when you purchase this insurance will not be covered, except where this policy replaces or you renew an existing annual multi trip policy which fell due for renewal during the trip. What is not covered applicable to all sections of the policy • War risks, civil commotion, terrorism, (except under Section B – Emergency medical and other expenses, Section C – Hospital benefit and Section D – Personal accident unless caused by nuclear, chemical or biological attack), sonic bangs, radioactive contamination. • There are a number of sports, activities and winter sports that are not covered - Please see paragraphs 4, 5, and 6 in What is not covered - applicable to all sections of the policy on page 14 in the policy wording. • Climbing on or jumping from vehicles, buildings or balconies regardless of the height. • Wilful, self inflicted injury, suicide, drug use or solvent abuse. • You drinking too much alcohol resulting in a claim. • Unlawful actions and any criminal proceedings brought against you. • Travel to a country, specific area or event which the Travel Advice Unit of the Foreign and Commonwealth Office (FCO) has advised against all travel or all but essential travel. What is not covered under Section A – Cancellation or curtailment • Redundancy caused by misconduct, resignation, voluntary redundancy, entering into a compromise agreement, or where you received a warning or notification of redundancy before you purchased this insurance or at the time of booking any trip. • Any circumstances known to you before you purchased this insurance or at the time of booking any trip that could reasonably be expected to result in a claim. • The cost of Air Passenger Duty (APD) whether irrecoverable or not. • Any claim related to a medical condition that a close relative or a close business associate has at the time of purchase of this policy or has had prior to the purchase of this policy or any recognised complication caused by the existing medical condition. What is not covered under Section B – Emergency medical and other expenses • Treatment or surgery which in the opinion of the Emergency Assistance Service, can wait until your return to your home area. • Medication, which prior to departure is known to be required. • Expenses incurred as a result of a tropical disease where you have not had the NHS recommended inoculations and/or taken the NHS recommended medication. What is not covered under Section C – Hospital benefit • Hospitalisation, compulsory quarantine or confinement to your accommodation as a result of a tropical disease where you have not had the NHS recommended inoculations and/or taken the NHS recommended medication. What is not covered under Section E – Baggage • Valuables left unattended at any time unless in a hotel safe, safety deposit box or in your locked accommodation. • Baggage contained in an unattended vehicle between 9 pm and 9 am (or at any time between 9 am and 9 pm unless it is locked out of sight in a secure baggage area) – Please see the definition of secure baggage area in the Definitions in the policy wording. • Contact or corneal lenses, hearing aids, dental or medical fittings, ski equipment, golf equipment and other items are excluded - See your policy wording for the full list. • Business goods, samples or tools used in connection with your occupation. What is not covered under Section F – Personal money, passport and travel documents • Personal money or your passport or visa left unattended at any time unless in a hotel safe, safety deposit box or in your locked accommodation. • Loss or theft of traveller’s cheques where you have not complied with the issuing agent’s conditions. What is not covered under Section G – Personal liability • Pursuit of any trade, business or profession, or the ownership, possession or use of mechanically propelled vehicles, aircraft or watercraft. What is not covered under Section H – Delayed departure and abandonment of trip • Strike or industrial action existing or being publicly announced before the date you purchased this insurance or at the time of booking any trip. • The cost of Air Passenger Duty (APD) whether irrecoverable or not. • Claims arising directly or indirectly from volcanic eruptions and/or volcanic ash clouds. 4 • • Any costs incurred by you which are recoverable from the public transport operator or for which you receive or are expected to receive compensation, damages, refund of tickets, meals, refreshments, accommodation, transfers, communication facilities or other assistance. Any travel and accommodation costs, charges and expenses where the public transport operator has offered reasonable alternative travel arrangements. What is not covered under Section I – Missed departure on your outward journey • Strike or industrial action existing or being publicly announced before the date you purchased this insurance or at the time of booking any trip. • Your failure to arrive at the departure point in time to board any connecting public transport after your departure on the initial international outbound leg of the trip. • Claims arising directly or indirectly from volcanic eruptions and/or volcanic ash clouds. What is not covered under Section K – Legal expenses • Any claim where in our opinion there is insufficient prospect of success in obtaining reasonable compensation. • Legal costs and expenses incurred prior to our written acceptance of the case. What is not covered under Sections O– Winter sports cover • Ski equipment contained in or stolen from an unattended vehicle between 9 pm and 9 am (or at any time between 9 am and 9 pm unless it is locked out of sight in a secure baggage area) – Please see the definition of secure baggage area in the Definitions in the policy wording. • A deduction for wear, tear and depreciation will be made on ski equipment – see table in Section O1 – Ski equipment. What is not covered under Sections P– Golf cover • Golf equipment contained in or stolen from an unattended vehicle between 9 pm and 9 am (or at any time between 9 am and 9 pm unless it is locked out of sight in a secure baggage area) – Please see the definition of secure baggage area in the Definitions in the policy wording. • A deduction for wear, tear and depreciation will be made on ski equipment – see table in Section P1 – Golf equipment. What is not covered under Section Q – Business Extension • Loss, theft of or damage to Business Equipment contained in or stolen from an unattended vehicle: overnight between 9pm and 8am (local time); or at any time between 8am and 9pm (local time) unless it is in the locked boot which is separate from the passenger compartment, or for those vehicles without a separate boot, locked in the vehicle and covered from view and evidence of forcible and violent entry to the vehicle is confirmed by a police report. • Claims arising from Business Equipment left Unattended in a place to which the general public has access (e.g. on a beach/around a swimming pool) or left in the custody of anyone other than an Insured Person or your travelling companion. What is not covered under Section R – Wedding/Civil Partnership cover • Valuables left unattended at any time unless in a hotel safe, safety deposit box or in your locked accommodation. • Baggage contained in an unattended vehicle between 9 pm and 9 am (or at any time between 9 am and 9 pm unless it is locked out of sight in a secure baggage area) – Please see the definition of secure baggage area in the Definitions in the policy wording. • Contact or corneal lenses, hearing aids, dental or medical fittings, ski equipment, golf equipment and other items are excluded - See your policy wording for the full list. • Business goods, samples or tools used in connection with your occupation. Duration If this policy is an annual multi trip policy it lasts for a period of 12 months after which it automatically expires. If this policy is for a single trip, it lasts for the specified length of the trip. Please refer to your Certificate of Insurance for your selected cover. Cancellation period If you decide that this policy does not meet your needs, you may cancel it within 14 days of receiving it. This is called the ‘cooling off’ period. We will refund the full premium you paid, if you have not travelled and no claim has been made and no incident likely to result in a claim has occurred. If you cancel after the 14 day ‘cooling off’ period no refund of premium will be made. See General conditions applicable to the whole policy in the policy wording for full details. Claim notification To make a claim, please contact Claims Settlement Agencies on 01702 427172, by email to [email protected] or in writing to: Claims Settlement Agencies, 308-314 London Road, Hadleigh, Benfleet, Essex, SS7 2DD 5 Making a complaint If your complaint is about your policy please contact: Explorer Travel Insurance Suite 9, Chalkwell Lawns 648-656 London Road Westcliff on Sea SS0 9HR Tel: 0800 043 4003 Email: [email protected] If your complaint is about a claim on your policy please contact: Claims Settlement Agencies 308-314 London Road Hadleigh Benfleet Essex SS7 2DD Tel: 01702 427172 Email: [email protected] If the complaint is still not resolved, you can approach The Financial Ombudsman Service. Referral to the Financial Ombudsman will not affect your right to take legal action. Full details of addresses and contact numbers can be found within the Making a complaint section of the policy wording. Financial Services Compensation Scheme (FSCS) We are covered by the Financial Services Compensation Scheme (FSCS). You may be entitled to compensation from the scheme in the unlikely event we cannot meet our obligations to you. This depends on the type of insurance and the circumstances of the claim. Further information about the compensation scheme arrangements is available from the FSCS (www.fscs.org.uk). 6 Policy Wording Introduction This is your travel insurance policy. It contains details of what is covered, conditions and what is not covered, for each insured person and is the basis on which all claims will be settled. It is validated by the issue of the Certificate of Insurance which we recommend be attached to the policy. In return for having accepted your premium we will in the event of bodily injury, death, illness, disease, loss, theft, damage, legal liability or other specified events happening within the period of insurance provide insurance in accordance with the operative sections of your policy as referred to in your Certificate of Insurance. The Certificate of Insurance and any endorsements are all part of the policy. Your policy is evidence of the contract of insurance. United Kingdom residents This policy is only available to you if you are permanently resident in the United Kingdom and registered with a medical practitioner in the United Kingdom. You must be in the United Kingdom at the time of purchasing this policy and before starting your trip. Any trip that has already begun when you purchase this insurance will not be covered. The law which applies to this policy You and we can choose the law which applies to this policy. We propose that English Law applies. Unless we and you agree otherwise English law will apply to this policy. Age eligibility - Single trip There is no upper age limit for single trip policies. Age eligibility - Annual multi trip Platinum policies are not available to anyone aged 80 years or over if annual multi trip cover is selected. If you reach the age of 80 years during the period of insurance, cover will continue until the next renewal date but not after that. Platinum MediPlus policies are not available to anyone aged 71 years and over if annual multi trip cover is selected. If you reach the age of 71 years during the period of insurance, cover will continue until the next renewal date but not after that. Your Certificate of Insurance will show which cover option you have selected. If you are aged under 18 years at date of issue of the policy you can only travel provided you are accompanied by one of the adults insured under this policy. Geographical areas You will not be covered if you travel outside the area you have selected, as shown in your Certificate of Insurance. UK - England, Wales, Scotland and Northern Ireland. EU1 - All countries listed in UK above; Channel Islands, Gibraltar, Isle of Man; Israel, Morocco, Tunisia; all European countries west of the Ural mountains excluding Andorra, Cyprus, Greece, Spain and Turkey. EU2 - All countries listed in UK and EU1 above; Egypt; all European countries west of the Ural mountains including Andorra, Cyprus, Greece, Spain and Turkey. AUS/NZ - Australia and New Zealand. WW1 - Worldwide excluding USA, Canada and Caribbean. WW2 - Worldwide including USA, Canada and Caribbean. Policy excess Under most sections of the policy, claims will be subject to an excess. This means that you will be responsible for paying the first part of each and every claim per incident claimed for, under each section by each insured person, unless you have paid the additional premium to waive the excess as stated in the Certificate of Insurance. Helplines Please carry this policy document with you in case of an emergency. For medical assistance and/or repatriation claims: In the event of any illness, injury, accident or hospitalisation which requires Inpatient or Outpatient treatment anywhere in the world, you must contact: Intana Tel: + 44 (0) 20 8865 0436 Fax: +44 (0) 1992 708721 Email: [email protected] 7 Policy information If you would like more information or if you feel the insurance may not meet your needs, email Explorer Travel Insurance at [email protected] or call 0800 043 4003. Insurer The Insurer for this policy is: Solid Forsakringsaktiebolag who is authorised by Finansinspektionen, the Financial Supervisory Authority of Sweden and subject to limited regulation by the Financial Conduct Authority and Prudential Regulation Authority. Details about the extent of our regulation by the Financial Conduct Authority and Prudential Regulation Authority are available from us on request. Data Protection Act Notice To set up and administer your policy we will hold and use information about you supplied by you and by medical providers. We may send it in confidence for processing to other companies acting on our instructions including those located outside the European Economic Area. Please note insurers exchange information with various databases to help check the information provided and prevent fraudulent claims. Fraud prevention To keep premiums low we do participate in a number of industry initiatives to prevent and detect fraud. To help prevent crime we may: 1. Share information about you with other organisations and public bodies including the police. 2. Share information about you within the Solid Group and with other insurers. 3. Pass your details to recognised centralised insurance industry applications and claims review systems (for example the Travel Claims Database) where your details may be checked and updated. 4. Check your details with fraud prevention agencies and databases. If you give us false or inaccurate information and we suspect fraud, we may record this with fraud prevention agencies. 5. Search records held by fraud prevention and credit agencies to: a) Help make decisions about credit services for you and members of your household. b) Help make decisions on insurance policies and claims for you and members of your household. c) Trace debtors, recover debt, prevent fraud and to manage your insurance policies. d) Check your identity to prevent money laundering. 6. Undertake credit searches and additional fraud searches. Definitions These definitions apply throughout your policy booklet. Where we explain what a word means that word will appear highlighted in bold print and have the same meaning wherever it is used in the policy. We have listed the definitions alphabetically. Baggage - means luggage, clothing, personal effects, valuables and other articles (but excluding ski equipment, golf equipment, business equipment, personal money and documents of any kind) which belong to you (or for which you are legally responsible) which are worn, used or carried by you during any trip. Bodily injury - means an identifiable physical injury caused by sudden, unexpected, external and visible means including injury as a result of unavoidable exposure to the elements. Business equipment - means items used by you in support of your business activity including office equipment which is portable by design including, but not restricted to, personal computers, PDAs and mobile telephones. Business money - means bank notes, currency notes and coins in current use, travellers’ and other cheques, postal or money orders, pre-paid coupons or vouchers, travel tickets, event and entertainment tickets, phonecards, money cards and credit/debit or pre-pay charge cards all held for business purposes. Business trip - means a trip taken wholly or in part for business purposes but excluding manual work. 8 Close business associate - means any person whose absence from business for one or more complete days at the same time as your absence prevents the proper continuation of that business. Close relative - means mother, father, sister, brother, wife, husband, civil partner, daughter, son, grandparent, grandchild, parent-in-law, son-in-law, daughter-in-law, sister-in-law, brother-in-law, step parent, step child, step sister, step brother, foster child, legal guardian, domestic partner or fiancé/fiancée. Couple - means you and your close relative who lives with you in a domestic relationship at the same address as you. Curtailment /Curtail/Curtailed - means either: a) abandoning or cutting short the trip by direct early return to your home area, in which case claims will be calculated from the day you returned to your home area and based on the number of complete days of your trip you have not used, or b) by attending a hospital outside your home area as an in-patient or being confined to your accommodation abroad due to compulsory quarantine or on the orders of a medical practitioner, in either case for a period in excess of 48 hours. Claims will be calculated from the day the ill/injured person was admitted to hospital or confined to your accommodation and based on the number of complete days for which you were hospitalised, quarantined or confined to your accommodation. Cover only applies to ill/injured persons. Excess - means the first amount of each claim, per section, for each separate incident payable for each Insured Person. Family cover - means up to two adults aged up to 65 years (Single Trip) or aged up to 60 years (Annual Multi Trip policies) plus any number of their children, step children or foster children aged under 18 years at date of issue of the policy. The children are only insured when travelling with one or both of the insured adults, but under annual multi trip cover either adult are insured to travel on their own. Golf equipment - means golf clubs, golf balls, golf bag, non motorised golf trolley and golf shoes. Hijack - means the unlawful seizure or wrongful exercise of control of an aircraft or conveyance that You are travelling in as a passenger Home - means your normal place of residence in the United Kingdom. Home area For residents of the United Kingdom excluding Channel Islands and the Isle of Man, your home area means the United Kingdom excluding Channel Islands and the Isle of Man. For residents of the Channel Islands and the Isle of Man, your home area means either the particular Channel Island on which you live or the Isle of Man depending on where your home is. Insured person See definition of You/Your/Yourself/Insured person. Medical condition - means any disease, illness or injury. Medical practitioner - means a registered practising member of the medical profession recognised by the law of the country where they are practising, who is not related to you or any person who you are travelling with. Mugging -means a violent attack on you with a view to theft by person(s) not previously known to you. One-way trip(s) - means a trip or journey made by you within the geographical areas shown in the Certificate of Insurance during the period of insurance, for a maximum of 17 days but with cover under this policy ceasing 12 hours after the time you first leave immigration control of the country in which your final destination is situated. Package - means the pre-arranged combination of at least two of the following components when sold or offered for sale at an inclusive price and when the service covers a period of more than 24 hours or includes overnight accommodation: a) b) transport accommodation 9 --c) other tourist services not ancillary to transport or accommodation (such as car hire or airport parking) and accounting for a significant proportion of the package as more fully described under The Package Travel, Package Holidays and Package Tour Regulations 1992. Period of insurance - means if annual multi trip cover is selected, the period of 12 months for which we have accepted the premium as stated in the Certificate of Insurance. During this period any trip not exceeding 45 days for anyone aged up to 65 years, limited to 31 days for anyone aged 66 or over. Winter sports trips are further limited to 17 days in total in each period of insurance. Under these policies Section A - Cancellation cover will be operative from the date stated in the Certificate of Insurance or the time of booking any trip (whichever is the later date) and terminates on commencement of any trip. - means if single trip cover is selected, the period of the trip and terminating upon its completion, but not in any case exceeding the period shown in the Certificate of Insurance. Under these policies Section A - Cancellation cover will be operative from the time you pay the premium. For all other sections of the policy, whichever cover is selected, the insurance starts when you leave your home or for a business trip your place of business (whichever is the later) to start the trip and ends at the time of your return to your home or place of business (whichever is the earlier) on completion of the trip. However any trip that had already begun when you purchased this insurance will not be covered, except where this policy replaces or you renew an existing annual multi trip policy which fell due for renewal during the trip. The period of insurance is automatically extended for the period of the delay in the event that your return to your home area is unavoidably delayed due to an event insured by this policy. Personal money - means bank notes, currency notes and coins in current use, travellers’ and other cheques, postal or money orders, pre-paid coupons or vouchers, travel tickets, event and entertainment tickets, phonecards, money cards and credit/debit or pre-pay charge cards all held for private purposes. Pre-existing medical condition - means: a) Any respiratory condition (relating to the lungs or breathing), heart condition, stroke, Crohn’s disease, epilepsy or cancer for which you have ever received treatment (including surgery, tests or investigations by your doctor or a consultant/specialist and prescribed drugs or medication). b) Any medical condition for which you have received surgery, in-patient treatment or investigations in a hospital or clinic within the last twelve months. c) Any medical condition for which you are taking prescribed drugs or medication. Public transport - means any publicly licensed aircraft, sea vessel, train, coach or bus on which you are booked or had planned to travel. Schedule of benefits - means the details of cover as outlined in page 3 of this document. Secure baggage area - means any of the following, as and where appropriate: a) The locked dashboard, boot or luggage compartment of a motor vehicle b) The locked luggage compartment of a hatchback vehicle fitted with a lid closing off the luggage area, or of an estate car with a fitted and engaged tray or roller blind cover behind the rear seats c) The fixed storage units of a locked motorised or towed caravan d) A locked luggage box, locked to a roof rack which is itself locked to the vehicle roof. Single parent cover - means one adult aged up to 65 years (Single Trip) or aged up to 60 years (Annual Multi Trip policies) plus any number of his or her children, step children or foster children aged under 18 at date of issue of the policy. The children are only insured when travelling with the insured adult. Ski equipment - means skis (including bindings), ski boots, ski poles and snowboards. Sports equipment - means specialist equipment belonging to you used specifically for a particular sport of leisure pursuit. Terrorism - means an act, including but not limited to the use of force or violence and/or the threat thereof, of any person or group(s) of persons, whether acting alone or on behalf of or in connection with any organisation(s) or governments, committed for political, religious, ideological or similar purposes including the intention to influence any government and/or to put the public, or any section of the public, in fear. 10 Travelling companion -means a person(s) with whom you have booked to travel on the same travel itinerary and without whom your travel plans would be impossible Trip - means any holiday, business or pleasure trip or journey made by you within the geographical areas shown in the Certificate of Insurance which begins and ends in your home area or place of business during the period of insurance, and including one- way trips as defined. However any trip that had already begun when you purchased this insurance will not be covered, except where this policy replaces or you renew an existing annual multi trip policy which fell due for renewal during the trip. If annual multi trip cover is selected then cover is provided for any trip not exceeding 45 days for anyone aged up to 65 years, limited to 31 days for anyone aged 66 or over. Winter sports trips are further limited to 17 days in total in each period of insurance. If any trip exceeds 45 days for anyone aged up to 65 years or 31 days for anyone aged 66 years and over there is absolutely no cover under this policy for that trip (not even for the first 31 days of the trip), unless you have contacted us and we have agreed in writing to provide cover. In addition, any trip solely within your home area is only covered where you have pre - booked at least two nights’ accommodation in a hotel, motel, holiday camp, holiday park, bed and breakfast, holiday cottage or similar accommodation rented for a fee. Each trip under annual multi trip cover is considered to be a separate insurance, with the terms, definitions, ‘What is not covered’and conditions contained in this policy applying to each trip. Unattended - means when you are not in full view of and not in a position to prevent unauthorised interference with your property or vehicle. United Kingdom - means England, Scotland, Wales, Northern Ireland, the Isle of Man and the Channel Islands. Valuables - means jewellery, gold, silver, precious metal or precious or semiprecious stone articles, watches, furs, cameras, camcorders, portable satellite navigation systems, photographic, audio, video, computer, television and telecommunications equipment (including mobile phones, MP3/4 players, tablets, iPods, Kindles, ebooks, CDs, DVDs, tapes, films, cassettes, cartridges and headphones), computer games and associated equipment, telescopes and binoculars. We/Us/Our - means Solid Forsakringsaktiebolag, Box 22068, 250 22 Helsingborg, Sweden. You/Your/Yourself/Insured person - means each person travelling on a trip whose name appears in the Certificate of Insurance. General conditions applicable to the whole policy You must comply with the following conditions to have the full protection of your policy. If you do not comply we may cancel the policy or refuse to deal with your claim or reduce the amount of any claim payment. 1. Dual insurance If at the time of any incident which results in a claim under this policy, there is another insurance covering the same loss, damage, expense or liability we will not pay more than our proportional share (not applicable to Section D – Personal accident). 2. Duty to take reasonable care not to make a misrepresentation Please take reasonable care to answer all our questions honestly and to the best of your knowledge. If you do not answer our questions correctly, your policy may be cancelled, or your claims rejected or not fully paid. 3. Reasonable precautions At all times you must take all reasonable precautions to avoid injury, illness, disease, loss, theft or damage and take all reasonable steps to safeguard your property from loss or damage and to recover property lost or stolen. 4. Cancellation Statutory cancellation rights You can cancel this policy within 14 days of receiving it. This is called the ‘cooling off’ period. If you want to cancel the policy you need to: 11 Tell Us a. by emailing to [email protected] or b. by writing to Explorer Travel Insurance Suite 9, Chalkwell Lawns 648-656 London Road Westcliff on Sea SS0 9HR or c. by telephoning on 0800 043 4003 If you have not travelled and no claim has been made and no incident likely to result in a claim has occurred, we will refund the premium you paid. You may cancel this policy at any time, after the 14 day ‘cooling off’ period. No refund of premium will be made. The policy can be cancelled mid-term by us giving you 7 days' notice in writing sent to your last known address. Our discretion to cancel policies is restricted to the following reasons: • If we are unable to collect a premium and have not received a response to two chaser letters. • Your failure to co-operate in a way that affects our ability to process a claim. • Suspected fraud or use of threatening or abusive behaviour. No refund of premium will be made. Claims conditions You must comply with the following conditions to have the full protection of your policy. If you do not comply we may cancel the policy or refuse to deal with your claim or reduce the amount of any claim payment. You must contact us by phone if you want to make a claim using the relevant number given below, depending on the type of claim: 1. Claims All non medical emergency claims: You must contact: Claims Settlement Agencies Tel: 01702 427172 For medical assistance and/or repatriation claims: In the event of any illness, injury, accident or hospitalisation which requires Inpatient or Outpatient treatment anywhere in the world, you must contact: Intana Tel: + 44 (0) 20 8865 0436 Fax: +44 (0) 1992 708721 Email: [email protected] The claim notification must be made within 31 days or as soon as possible after that following any bodily injury, illness, disease, incident, event, redundancy or the discovery of any loss, theft or damage which may lead to a claim under this policy. You must also tell us if you are aware of any court claim form, summons or impending prosecution. Every communication relating to a claim must be sent to us as soon as possible. You or anyone acting on your behalf must not negotiate, admit or repudiate (refuse) any claim without our permission in writing and cooperate fully with us in our investigations into the circumstance of your claim. You or your legal representatives must supply at your own expense, all information, evidence, details of household insurance, proof of ownership and medical certificates as required by us. You should refer to the section under which you are claiming for further details of the evidence that we need to deal with your claim. We reserve the right to require you to undergo an independent medical examination at our expense. We may also request and will pay for a post mortem examination. You must retain any property which is damaged, and if requested, send it to us at your own expense. If we pay a claim for the full value of the property and it is then recovered it will then become our property. We may refuse to reimburse you for any property which you cannot provide proof of ownership such as an original receipt, a valuation, original user manual or bank or credit card statements. 12 2. Transferring of rights We are entitled to take over any rights in the defence or settlement of any claim and to take proceedings in your name for our benefit against any other party. 3. Fraud You must not act in a fraudulent manner. If you or anyone acting for you a) Make a claim under the policy knowing the claim to be false or fraudulently exaggerated in any way; or b) Make a statement in support of a claim knowing the statement to be false in any way; or c) Submit a document in support of a claim knowing the document to be forged or false in any way; or d) Make a claim for any loss or damage caused by your wilful act or with your connivance Then a) we will not pay the claim b) we will not pay any other claim which has been or will be made under the policy c) we may make the policy void from the date of the fraudulent act d) we will be entitled to recover from you the amount of any claim already paid under the policy e) we will not refund any premium f) we may inform the police of the circumstances. Important conditions relating to health You must comply with the following conditions to have the full protection of your policy. If you do not comply we may cancel the policy or refuse to deal with your claim or reduce the amount of any claim payment. 1. It is a condition of this policy that you will not be covered under Section A – Cancellation or curtailment charges, Section B – Emergency medical and other expenses, Section C – Hospital benefit and Section D – Personal accident for any claims arising directly or indirectly from: a) At the time of taking out this policy: i) Any pre-existing medical condition you have unless you have contacted Explorer Travel Insurance at www.explorerinsurance.co.uk or by phone on 0800 043 4003 and we have agreed in writing, to cover you ii) Any medical condition for which you have received a terminal prognosis iii) Any medical condition you are aware of but for which you have not had a diagnosis iv) Any medical condition for which you are on a waiting list for or have knowledge of the need for surgery, treatment or investigation at a hospital, clinic or nursing home v) Any medical condition affecting you, a close relative or a close business associate that you are aware of, that could reasonably be expected to result in a claim on this policy. b) At any time: i) Any medical conditions you have for which a medical practitioner has advised you not to travel (or would have done so had you sought his/her advice), but despite this you still travel ii) Any surgery, treatment or investigations for which you intend to travel outside of your home area to receive (including any expenses incurred due to the discovery of other medical conditions during and/or complications arising from these procedures) iii) Any medical condition for which you are not taking the recommended treatment or prescribed medication as directed by a medical practitioner iv) Your travel against any health requirements stipulated by the carrier, their handling agents or any other public transport provider. v) Your participation in clinical/drug trials. If your health changes after the start date of your policy and the date your travel tickets or confirmation of booking were issued, you should telephone Explorer Travel Insurance on 0800 043 4003 to make sure your cover is not affected. We may require an additional premium, increase the applicable excess or withdraw cover completely should the stability of the condition make it necessary to do so. You should also refer to ‘What is not covered’ on page 14 – applicable to all sections of the policy. 13 Medical screening You will need to complete the straightforward online process or contact Explorer Travel Insurance by telephone to answer simple questions about your medical conditions, medication, trips to your medical practitioner, and other related matters. If, as a result of your answers, our criteria of assessment may impose special terms, such as an additional premium, this will be advised to you immediately in the online quote and will form part of the policy and conditions will be shown. The policy will be emailed to you with confirmation of purchase. Should you decide not to pay the additional premium all medical conditions will not be covered. Any additional medical conditions not declared to us will not be covered. You should also refer to ‘What is not covered’ on page 14 - applicable to all sections of the policy. What is not covered - applicable to all sections of the policy We will not pay for claims arising directly or indirectly from: 1. War risks, civil commotion and terrorism War, invasion, acts of foreign enemies, hostilities or warlike operations (whether war be declared or not), civil war, rebellion, terrorism, revolution, insurrection, civil commotion assuming the proportions of or amounting to an uprising, military or usurped power but this exclusion shall not apply to losses under Section B – Emergency medical and other expenses, Section C – Hospital benefit and Section D – Personal accident unless such losses are caused by nuclear, chemical or biological attack, or the disturbances were already taking place at the beginning of any trip. 2. Radioactive contamination Ionising radiation or contamination by radioactivity from any nuclear fuel or from any nuclear waste, from combustion of nuclear fuel, the radioactive, toxic, explosive or other hazardous properties of any nuclear assembly or nuclear component of such assembly. 3. Sonic bangs Loss, destruction or damage directly caused by pressure waves caused by aircraft and other aerial devices travelling at sonic or supersonic speeds. 4. Winter sports Your participation in winter sports unless the appropriate winter sports premium has been paid, then cover will apply under those sections shown as covered for winter sports in your Certificate of Insurance for: a) the winter sports specified in the list on page 31 and b) any other winter sports trips shown as covered on your Certificate of Insurance for a period of no more than 17 days in total in each period of insurance under annual multi trip policies and for the period of the trip under single trip policies. 5. Professional sports or entertaining Your participation in or practice of any professional sports or professional entertaining. 6. Other sports or activities Your participation in or practice of any other sport or activity, manual work, driving any motorised vehicle or racing unless: a) specified in the list on page 15 or b) shown as covered in your Certificate of Insurance. 7. Your travel by freighter, container or cargo ship. 8. Suicide, drug use or solvent abuse Your wilfully self-inflicted injury or illness, suicide or attempted suicide, sexually transmitted diseases, solvent abuse, drug use (other than drugs taken in accordance with treatment prescribed and directed by a medical practitioner, but not for the treatment of drug addiction) and putting yourself at needless risk (except in an attempt to save human life). 9. Alcohol abuse You drinking too much alcohol or alcohol abuse where it is reasonably foreseeable that such consumption could result in an impairment of your faculties and/or judgement resulting in a claim. We do not expect you to avoid alcohol on your trips or holidays, but we will not cover any claims arising because you have drunk so much alcohol that your judgement is seriously affected and you need to make a claim as a result. 14 10. Jumping from vehicles, buildings or balconies You climbing on top of, or jumping from a vehicle or jumping from a building or balcony, or sitting, planking, balconing, owling or lying on any external part of any building, or climbing or moving from any external part of any building to another (apart from stairs, ramps or walkways) and falling regardless of the height, unless your life is in danger or you are attempting to save human life. 11. Unlawful action Your own unlawful action or any criminal proceedings against you. 12. Additional loss or expense Any other loss, damage or additional expense following on from the event for which you are claiming, unless we provide cover under this insurance. Examples of such loss, damage or additional expense would be the cost of replacing locks after losing keys, costs incurred in preparing a claim or loss of earnings following bodily injury, illness or disease. 13. Armed Forces Operational duties of a member of the Armed Forces (other than claims arising from authorised leave being cancelled due to operational reasons, as provided for under sub section 4. of Section A – Cancellation or curtailment charges). 14. Travelling against FCO advice Your travel to a country, specific area or event when the Travel Advice Unit of the Foreign & Commonwealth Office (FCO) or regulatory authority in a country to/from which you are travelling has advised against all, or all but essential travel. Sports and activities covered The following lists detail the sports and activities that this policy will cover when you are participating on a recreational, incidental and amateur basis during any trip. Any involvement is these sports and/or activities is subject to your compliance with local laws and regulations and the use of recommended safety equipment (such as helmet, harness, knee and/or elbow pads). Details of those sports and activities which you have purchased cover for will be added to your Certificate of Insurance. Activity pack 1 – covered as standard Personal accident benefit - excluded if marked with* Personal liability benefit – excluded if marked with + Archery Badminton Baseball Basketball Beach Games Bungee Jumping (Max 2 jumps. Organised and under qualified supervision) Canoeing / Kayaking (Flat water or River up to Grade 2) *+ Clay Pigeon Shooting*+ Cricket*+ Cycling (excluding racing, BMX, Mountain biking and touring) Dinghy Sailing Fell Walking*+ Fishing Football Golf Horse Riding (no Competitions, Polo, Hunting, Racing, Jumping. Riding hat must be worn) Hot Air Ballooning (Booked in UK prior to departure) Jet Boating (no competitions) *+ Jet Skiing*+ (no competitions) Jogging Marathon Running Motorcycling up to 125cc (Subject to holding appropriate licence & wearing helmet, no off road) Netball Orienteering Paintballing *+ Parascending (Europe only, over water) Pony trekking (Riding hat must be worn) Racquetball Rambling/Hiking/Trekking under 2,000m Roller Blading /Inline Skating / Skate boarding (no racing, no competitions) Rounders Rowing Running, Sprint / Long Distance Safari (Organised tours only, pre-booked within the UK/Ireland) Sail Boarding Sailing/Yachting within territorial waters (no racing or crewing)*+ Scuba Diving down to 30 metres (provided not in excess of your PADI dive level. Excludes solo dives. Cannot dive within 24hrs of departure) Snorkelling Squash Surfing (max 14 days, no competitions) Tennis Tour Operator Safari Treetop Walkways Track Events Triathlon Volleyball War Games Water Polo Water Skiing White/Black Water Rafting (Grades 1-3 under qualified supervision) Windsurfing Working abroad (non manual labour) Yoga 15 Activity pack 2 – covered with an additional charge Activity pack 3 – covered with an additional charge Medical excess increased to £400 Personal accident benefit – reduced by 50% Medical excess increased to £250 Personal accident benefit – reduced by 50% (excluded if marked with*) Personal liability benefit – excluded Personal liability benefit – excluded Boxing training (no contact) Bungee jump (up to 3 additional - organised and under qualified supervision) Camel/Elephant riding/trekking (with competent supervision) Cycle touring Fencing Flying as a passenger (in a licenced passenger carrying aircraft) Go-karting (helmet must be worn) Hockey Hot air ballooning (non incidental) Jet skiing (non incidental) Manual labour (ground level only, no machinery) Martial arts (training only, no contact) Motorcycling 125cc to 250cc (Subject to holding appropriate licence & wearing helmet, no off road) Mountain biking (excluding downhill mountain biking) Parascending (Europe only, over water, non incidental to trip) Rambling/hiking/trekking between 2,001 and 4,000m (without ropes and/or picks) Safari (non-UK organised, organised tours only) Scuba diving (non incidental down to maximum of 40m, not exceeding your PADI dive level) Sea canoeing/Kayaking (under qualified supervision) Sea fishing (non incidental) Surfing (non incidental, no competitions) Water-skiing/Windsurfing/Snorkelling (amateur, non incidental) Winter sports (extension to 31 days cover for Annual Multi Trip) Abseiling American football Parachuting (Europe only, with qualified supervision) Paragliding (Europe only, with qualified supervision) Parascending overland (Europe only, with qualified supervision) Rugby Sailing/Yachting – outside territorial waters if qualified or accompanied by a qualified person (No racing)* Sand yachting Sky diving (Europe only, up to 2 jumps maximum)* Snowmobiling Tandem Skydive (Europe only, up to 2 jumps maximum)* White/Black water rafting (grade 4 to 6 under qualified supervision) Zip wiring/zip trekking (with competent supervision) Activity pack 4 – covered with an additional charge Medical excess increased to £400 Personal accident benefit – excluded Personal liability benefit – excluded Canyoning High diving (amateur, up to 5m height. Excluding cliff diving) Horse jumping (No polo, or hunting, riding hat must be worn) Kite surfing Parasailing (with qualified supervision) Rock climbing (under 2,000m either as a qualified person or with qualified supervision) Rock scrambling (under 4,000m) Trekking - Inca trail (as part of an organised tour) Trekking – Kilimanjaro (as part of an organised tour) Emergency and medical service You must contact the Emergency Assistance Service in the event of an illness or accident which may lead to outpatient or in-patient hospital treatment or before any arrangements are made for repatriation; or in the event of curtailment necessitating your early return home. The service operates 24 hours a day, 365 days a year for advice, assistance, making arrangements for hospital admission, repatriation (returning you to your home area) and authorisation of medical expenses. If this is not possible because the condition requires emergency treatment you must contact the Emergency Assistance Service as soon as possible. Medical assistance abroad The Emergency Assistance Service has the medical expertise, contacts and facilities to help should you be injured in an accident or fall ill. The Emergency Assistance Service will also arrange transport home when this is considered to be medically necessary or when you are told about the illness or death of a close relative or a close business associate at home. Payment for medical treatment abroad If you are admitted to a hospital/clinic while abroad, the Emergency Assistance Service will arrange for medical expenses, covered by the policy, to be paid direct to the hospital/clinic. To take advantage of this benefit someone must contact the Emergency Assistance Service for you as soon as possible. Private medical treatment is not covered unless authorised specifically by the Emergency Assistance Service. The emergency assistance service provided for you by this insurance is operated by Intana. In the event of any illness, injury, accident or hospitalisation which requires Inpatient or Outpatient 16 treatment anywhere in the world, you must contact: Intana Tel: +44 (0) 20 8865 0436 Fax: +44 (0) 1992 708721 Email: [email protected] INSTRUCTIONS TO CLINICS FOR OUTPATIENT TREATMENT: If you require outpatient treatment you must provide a copy of your Certificate of Insurance to the treating doctor / clinic at the time of treatment so that they can contact Intana to obtain authorisation for your treatment, in line with your policy wording. You are responsible for any policy excess and this should be paid by you at the time of treatment. Instructions to Doctors/Clinics: In order to have your invoices paid quickly, please send your invoice together with a copy of the Certificate of Insurance (clearly showing the policy number and names) and any supporting documentation related to the outpatient treatment (Medical report, cost breakdown) by email to [email protected]. You must include your bank account details, IBAN no’s and / or Swift code for payment to be processed electronically. Fax: +44 (0) 1992 708721 E-mail: [email protected] Tel: +44 (0) 20 8865 0436 Reciprocal health agreements with other countries EU, EEA or Switzerland If you are travelling to countries within the European Union (EU), the European Economic Area (EEA) or Switzerland you are strongly advised to obtain a European Health Insurance Card (EHIC). You can apply for an EHIC either online at www.ehic.org.uk or by telephoning 0300 330 1350. This will entitle you to benefit from the health care arrangements which exist between countries within the EU/EEA or Switzerland. If we agree to pay for a medical expense which has been reduced because you have used either a European Health Insurance Card or private health insurance, we will not deduct the excess under Section B - Emergency medical and other expenses. Australia If you need medical treatment in Australia you must enrol with a local MEDICARE office. You do not need to enrol when you arrive, but you must do this after the first occasion you receive treatment. In-patient and out-patient treatment at a public hospital will then be available free of charge. Details of how to enrol and the free treatment available can be found by visiting the MEDICARE website on www.medicareaustralia.gov.au. or by emailing [email protected] Alternatively please call the Emergency Assistance Service for guidance. If you are admitted to hospital you must contact the Emergency Assistance Service as soon as possible and get their authorisation for any treatment not available under MEDICARE. New Zealand United Kingdom citizens on a short term visit to New Zealand are eligible for treatment (medical, hospital and related) on the same basis as citizens of New Zealand. If the treatment relates to an existing medical condition or a new condition arises, then a medical practitioner must agree in each case that prompt treatment is necessary, if treatment is to be provided under the reciprocal agreement. You will also need to show your UK passport. You will however have to pay the same charges as New Zealanders for treatment at a doctor’s surgery or for prescribed medication. Contact the Emergency Assistance Service on telephone number: +44 (0) 20 8865 0436 Section A – Cancellation or curtailment charges (only operative if indicated in the Certificate of Insurance) What is covered We will pay you up to the amount shown in the schedule of benefits for your proportion only of any irrecoverable unused travel and accommodation costs and other pre-paid charges (including excursions up to £250) which you have paid or are contracted to pay, together with your proportion only of any reasonable additional travel expenses incurred if a) cancellation of the trip is necessary and unavoidable or b) the trip is curtailed before completion 17 as a result of any of the following events: 1. The death, bodily injury, illness, disease, or complications arising as a direct result of pregnancy of: a) you b) any person who you are travelling or have arranged to travel with c) any person who you have arranged to stay with d) your close relative e) your close business associate. 2. You or any person who you are travelling or have arranged to travel with being quarantined, called as a witness at a Court of Law or for jury service attendance. 3. Redundancy of you or any person who you are travelling or have arranged to travel with (which qualifies for payment under current United Kingdom redundancy payment legislation, and at the time of booking the trip there was no reason to believe anyone would be made redundant). 4. You or any person who you are travelling or have arranged to travel with, are a member of the Armed Forces, Territorial Army, Police, Fire, Nursing or Ambulance Services or employees of a Government Department and have your/their authorised leave cancelled or are called up for operational reasons, provided that the cancellation or curtailment could not reasonably have been expected at the time when you purchased this insurance or at the time of booking any trip. 5. The Police or other authorities requesting you to stay at or return to your home due to serious damage to your home caused by fire, aircraft, explosion, storm, flood, subsidence, fallen trees, collision by road vehicles, malicious people or theft. Special conditions relating to claims 1. You must get (at your own expense) a medical certificate from a medical practitioner and the prior approval of the Emergency Assistance Service to confirm the necessity to return home, prior to curtailment of the trip due to death, bodily injury, illness, disease or complications arising as a direct result of pregnancy. 2. If you fail to notify the travel agent, tour operator or provider of transport or accommodation as soon as you find out it is necessary to cancel the trip, the amount we will pay will be limited to the cancellation charges that would have otherwise applied. 3. If you cancel the trip due to: a) stress, anxiety, depression or any other mental or nervous disorder that you are suffering from you must provide (at your own expense) a medical certificate from either a registered mental health professional if you are under the care of a Community Mental Health Team or if not, a consultant specialising in the relevant field or b) any other bodily injury, illness, disease or complications arising as a direct result of pregnancy, you must provide (at your own expense) a medical certificate from a medical practitioner stating that this necessarily and reasonably prevented you from travelling. We need the medical certificate completed as soon as you find out it is necessary to cancel the trip, as any delay in seeing a medical practitioner could mean that your symptoms are no longer present. If you cannot get an immediate appointment, please make one for as early as possible and keep all details of this to help substantiate your claim. What is not covered 1. The excess as shown in the schedule of benefits, unless you have purchased the excess waiver and this is shown on your Certificate of Insurance. 2. The cost of your unused original tickets where the Emergency Assistance Service or we have arranged and paid for you to come home following curtailment of the trip. If however you have not purchased a return ticket, we reserve the right to deduct the cost of an economy flight from any additional costs we have incurred which are medically necessary to repatriate you to your home. 3. The cost of Air Passenger Duty (APD) whether irrecoverable or not. 4. Any claims arising directly or indirectly from: a) Your misconduct or misconduct by any person who you are travelling with or have arranged to travel with leading to dismissal, your/their resignation, voluntary redundancy, you/their entering into a compromise agreement, or where you/they had received a warning or notification of redundancy before you purchased this insurance or at the time of booking any trip. b) Circumstances known to you before you purchased this insurance or at the time of booking any trip which could reasonably have been expected to lead to cancellation or curtailment of the trip. 18 c) A medical condition that a close relative or a close business associate has at the time of purchase of this policy or has had prior to the purchase of this policy or any recognised complication caused by the existing medical condition. 5. Travel tickets paid for using any airline mileage or supermarket reward scheme (for example Avios), unless evidence of specific monetary value can be provided. 6. Accommodation costs paid for using any Timeshare, Holiday Property Bond or other holiday points scheme. In addition any property maintenance costs, fees or charges incurred by you, as part of your involvement in such schemes is not covered. 7. Anything mentioned in ‘What is not covered’ on page 14 applicable to all sections of the policy. You should also refer to the ‘Important conditions relating to health.’ Claims evidence We will require (at your own expense) the following evidence where relevant: • A medical certificate from the treating medical practitioner (or in the case of stress, anxiety, depression or any other mental or nervous disorder, either a registered mental health professional if you are under the care of a Community Mental Health Team or if not, a consultant specialising in the relevant field) explaining why it was necessary for you to cancel or curtail the trip. • In the case of death causing cancellation or curtailment of the trip, the original death certificate. • Booking confirmation together with a cancellation invoice from your travel agent, tour operator or provider of transport/accommodation. • In the case of curtailment claims, written details from your travel agent, tour operator or provider of transport/accommodation of the separate costs of transport, accommodation and other pre-paid costs or charges that made up the total cost of the trip. • Your unused travel tickets. • Receipts or bills for any costs, charges or expenses claimed for. • In the case of compulsory quarantine, a letter from the relevant authority or the treating medical practitioner. • In the case of jury service or witness attendance, the court summons. • The letter of redundancy for redundancy claims. • A letter from the commanding officer concerned, confirming cancellation of authorised leave or call up for operational reasons. • In the case of serious damage to your home a report from the Police or relevant authority. • Any other relevant information relating to your claim under this section that we may ask you for. To make a claim under this section please call: For curtailment claims +44 (0) 20 8865 0436 or other claims 01702 427172 Section B – Emergency medical and other expenses What is covered We will pay you up to the limit shown in the schedule of benefits for the following expenses which are necessarily incurred during a trip as a result of you suffering unforeseen bodily injury, illness, disease and/or compulsory quarantine: 1. Emergency medical, surgical, hospital, ambulance and nursing fees and charges incurred outside of your home area. 2. Emergency dental treatment for the immediate relief of pain (to natural teeth only) incurred outside of your home area. 3. Costs of telephone calls: a) to the Emergency Assistance Service notifying and dealing with the problem for which you are able to provide receipts or other reasonable evidence to show the cost of the calls and the numbers you telephoned. b) incurred by you when you receive calls on your mobile phone from the Emergency Assistance Service for which you are able to provide receipts or other reasonable evidence to show the cost of the calls. 4. The cost of taxi fares for your travel to or from hospital relating to your admission, discharge or attendance for outpatient treatment or appointments and/or for collection of medication prescribed for you by the hospital. 5. If you die: a) outside your home area the cost of funeral expenses abroad up to the amount shown in the schedule of benefits plus the reasonable cost of returning your ashes to your home, or the additional costs of returning your body to your home 19 b) within your home area the reasonable additional cost of returning your ashes or body to your home. 6. Reasonable additional transport and/or accommodation expenses incurred, up to the standard of your original booking (for example full or half board, all inclusive, bed and breakfast, self catering or room only), if it is medically necessary for you to stay beyond your scheduled return date. This includes, with the prior authorisation of the Emergency Assistance Service, reasonable additional transport and/or accommodation expenses for a travelling companion, friend or close relative to stay with you or travel to you from the United Kingdom or escort you. Also additional travel expenses to return you to your home or a suitable hospital nearby if you cannot use the return ticket. 7. With the prior authorisation of the Emergency Assistance Service, the additional costs incurred in the use of air transport or other suitable means, including qualified attendants, to repatriate you to your home if it is medically necessary. These expenses will be for the identical class of travel utilised on the outward journey unless the Emergency Assistance Service agree otherwise. Special conditions relating to claims 1. You must tell the Emergency Assistance Service as soon as possible of any bodily injury, illness or disease which necessitates your admittance to hospital as an in-patient or before any arrangements are made for your repatriation. 2. If you suffer bodily injury, illness or disease we reserve the right to move you from one hospital to another and/or arrange for your repatriation to the United Kingdom at any time during the trip. We will do this, if in the opinion of the Emergency Assistance Service or us (based on information provided by the medical practitioner in attendance), you can be moved safely and / or travel safely to your home area or a suitable hospital nearby to continue treatment. 3. The intention of this section is to pay for emergency medical/surgical/dental treatment only and not for treatment or surgery that can be reasonably delayed until your return to your home area. Our decisions regarding the treatment or surgery that we will pay for (including repatriation to your home area) will be based on this. If you do not accept our decisions and do not want to be repatriated, then we will cancel all cover under your policy and refuse to deal with claims for any further treatment and/or your repatriation to your home area. What is not covered 1. The excess as shown in the schedule of benefits, unless you have purchased the excess waiver and this is shown on your Certificate of Insurance. 2. Normal pregnancy, without any accompanying bodily injury, illness, disease or complication. This section is designed to provide cover for unforeseen events, accidents, illnesses and diseases and normal childbirth would not constitute an unforeseen event. 3. The cost of your unused original tickets where the Emergency Assistance Service or we have arranged and paid for you to return to your home, if you cannot use the return ticket. If however you have not purchased a return ticket, we reserve the right to deduct the cost of an economy flight from any additional costs we have incurred which are medically necessary to repatriate you to your home. 4. Any claims arising directly or indirectly for: a) The cost of treatment or surgery, including exploratory tests, which are not related to the bodily injury or illness which necessitated your admittance into hospital. b) Any expenses which are not usual, reasonable or customary to treat your bodily injury, illness or disease. c) Any form of treatment or surgery which in the opinion of the Emergency Assistance Service or us (based on information provided by the medical practitioner in attendance), can be delayed reasonably until your return to your home area. d) Expenses incurred in obtaining or replacing medication, which you know you will need at the time of departure or which will have to be continued outside of your home area. Where possible and with the agreement of your medical practitioner, you should always travel with plenty of extra medication in case of travel delays. e) Additional costs arising from single or private room accommodation. f) Treatment or services provided by a health spa, convalescent or nursing home or any rehabilitation centre unless agreed by the Emergency Assistance Service. g) Any costs incurred by you to visit another person in hospital. h) Any expenses incurred by you to visit another person in hospital. 20 i) Any expenses incurred in England, Scotland, Wales, Northern Ireland, the Isle of Man or the Channel Islands which are: i. for private treatment, or ii. are funded by, or are recoverable from the Health Authority in your home area, or iii. are funded by a reciprocal health agreement (RHA) between these countries and/or islands. j) Expenses incurred as a result of a tropical disease where you have not had the NHS recommended inoculations and/or taken the NHS recommended medication. k) Any expenses incurred after the date on which we exercise our rights under this section to move you from one hospital to another and/or arrange for your repatriation but you decide not to be moved or repatriated. 5. Anything mentioned in ‘What is not covered’ on page 14 applicable to all sections of the policy. You should also refer to the ‘Important conditions relating to health.’ Claims evidence We will require (at your own expense) the following evidence where relevant: • Receipts or bills for all in-patient/out-patient treatment or emergency dental treatment received. • In the event of death, the original death certificate and receipts or bills for funeral, cremation or repatriation expenses. • Receipts or bills for taxi fares to or from hospital claimed for, stating details of the date, name and location of the hospital concerned. • Receipts or bills or proof of purchase for any other transport, accommodation or other costs, charges or expenses claimed for, including calls to the Emergency Assistance Service. • Any other relevant information relating to your claim under this section that we may ask you for. To make a claim under this section please call: For medical assistance and/or repatriation claims +44 (0) 20 8865 0436 or other claims 01702 427172 Section C – Hospital benefit What is covered We will pay you up to the limit shown in the schedule of benefits for every complete 24 hours you have to stay in hospital as an in-patient or are confined to your accommodation due to your compulsory quarantine or on the orders of a medical practitioner outside your home area as a result of bodily injury, illness or disease you sustain. We will pay the amount above in addition to any amount payable under Section B – Emergency medical and other expenses. This payment is meant to help you pay for additional expenses such as taxi fares and phone calls incurred by your visitors during your stay in hospital. Special conditions relating to claims 1. You must tell the Emergency Assistance Service as soon as possible of any bodily injury, illness or disease which necessitates your admittance to hospital as an in-patient, compulsory quarantine or confinement to your accommodation on the orders of a medical practitioner. What is not covered 1. Any claims arising directly or indirectly from: a) Any additional period of hospitalisation, compulsory quarantine or confinement to your accommodation: i) relating to treatment or surgery, including exploratory tests, which are not directly related to the bodily injury, illness or disease which necessitated your admittance into hospital. ii) relating to treatment or services provided by a convalescent or nursing home or any rehabilitation centre. iii) following your decision not to be repatriated after the date, when in the opinion of the Emergency Assistance Service it is safe to do so. b) Hospitalisation, compulsory quarantine or confinement to your accommodation: i) relating to any form of treatment or surgery which in the opinion of the Emergency Assistance Service or us (based on information provided by the medical practitioner in attendance), can be delayed reasonably until your return to your home area. ii) as a result of a tropical disease where you have not had the NHS recommended inoculations and/or taken NHS the recommended medication. 21 iii) occurring in England, Scotland, Wales, Northern Ireland, the Isle of Man or the Channel Islands and relating to either private treatment or tests, surgery or other treatment, the costs of which are funded by a reciprocal health agreement (RHA) between these countries and/or islands, or are funded by or recoverable from the Health Authority in your home area. 2. Anything mentioned in ‘What is not covered’ on page 14 applicable to all sections of the policy. Claims evidence We will require (at your own expense) the following evidence where relevant: • Confirmation in writing from the hospital, relevant authority or the treating medical practitioner of the dates when you were admitted and subsequently discharged from hospital, compulsory quarantine or confinement to your accommodation. • Any other relevant information relating to your claim under this section that we may ask you for. To make a claim under this section please call 01702 427172 Section D – Personal accident Special definitions relating to this section (which are shown in italics) Loss of limb - means loss by permanent severance of an entire hand or foot or the total and permanent loss of use of an entire hand or foot. Loss of sight - means total and irrecoverable loss of sight which shall be considered as having occurred: a) in both eyes, if your name is added to the Register of Blind Persons on the authority of a fully qualified ophthalmic specialist and b) in one eye if the degree of sight remaining after correction is 3/60 or less on the Snellen scale. What is covered We will pay one of the benefits as shown in the schedule of benefits if you sustain bodily injury which shall solely and independently of any other cause, result within two years in your death, loss of limb, loss of sight or permanent total disablement Special conditions relating to claims 1. Our medical practitioner may examine you as often as they consider necessary if you make a claim. Provisions 1. Benefit is not payable to you: a) Under more than one of the items shown in the Schedule of benefits under this section. b) Under permanent total disablement until 24 continuous calendar months after the date you sustain bodily injury. c) If you were already disabled before the bodily injury occurred or already has a condition which is gradually getting worse, we may reduce our payment. Any reduced payment will be based on our medical assessment of the difference between: i. ii. the disability after the bodily injury; and the extent to which the disability is affected by the disability or condition before the bodily injury occurred. 2. The death benefit will be paid to the deceased insured person’s estate. What is not covered 1. Anything mentioned in ‘What is not covered’ on page 14 applicable to all sections of the policy. Claims evidence We will require (at your own expense) the following evidence where relevant: • • • In the event of death, the original death certificate. A medical certificate or report in relation to claims for loss of limb, loss of sight or permanent total disablement. Any other relevant information relating to your claim under this section that we may ask you for. To make a claim under this section please call 01702 427172 22 Section E – Baggage (only operative if indicated in the Certificate of Insurance) What is covered 1. We will pay you up to the amount as shown in the schedule of benefits for the accidental loss of, theft of or damage to baggage. The amount payable in the event of a total loss, will be the value at today’s prices less a deduction for wear, tear and depreciation (loss of value), or we may replace, reinstate or repair the lost or damaged baggage. The maximum we will pay you for the following items is: a) for any one article, pair or set of articles is as shown in the schedule of benefits. b) or the total for all valuables is as shown in the schedule of benefits 2. We will also pay you up to the amount as shown in the schedule of benefits for the emergency replacement of clothing, medication and toiletries if your baggage is temporarily lost in transit during the outward journey and not returned to you within 24 hours, as long as we receive written confirmation from the carrier, confirming the number of hours the baggage was delayed. If the loss is permanent we will deduct the amount paid from the final amount to be paid under this section. Special conditions relating to claims 1. You must report to the local Police in the country where the incident occurred within 24 hours of discovery, or as soon as possible after that and get (at your own expense) a written report of the loss, theft or attempted theft of all baggage. 2. If baggage is lost, stolen or damaged while in the care of a carrier, transport company, authority, hotel or your accommodation provider you must report details of the loss, theft or damage to them in writing and get (at your own expense) written confirmation. 3. If baggage is lost, stolen or damaged whilst in the care of an airline you must: a) get a Property Irregularity Report from the airline. b) give written notice of the claim to the airline within the time limit contained in their conditions of carriage (please retain a copy). c) keep all travel tickets and tags for submission if you are going to make a claim under this policy. 4. You must provide (at your own expense) an original receipt or proof of ownership for items lost, stolen or damaged to help you to substantiate your claim. What is not covered 1. The excess as shown in the schedule of benefits, unless you have purchased the Excess waiver and this is shown on Your Certificate of Insurance (except claims under subsection 2 of ‘What is covered’). 2. Loss, theft of or damage to valuables left unattended at any time (including in a vehicle, in checked in luggage or while in the custody of a carrier, tour operator or public transport operator) unless deposited in a hotel safe, safety deposit box or left in your locked accommodation. 3. Loss, theft of or damage to baggage contained in an unattended vehicle: a) overnight between 9 pm and 9 am (local time) or b) at any time between 9 am and 9 pm (local time) unless: i) it is locked out of sight in a secure baggage area and ii) forcible and violent means have been used by an unauthorised person to gain entry into the vehicle and evidence of such entry is available. 4. Loss or damage due to delay, confiscation or detention by customs or any other authority. 5. Loss, theft of or damage to unset precious stones, contact or corneal lenses, hearing aids, dental or medical fittings, antiques, musical instruments, motor accessories, documents of any kind, bonds, securities, perishable goods (such as foodstuffs), bicycles, ski equipment, golf equipment and damage to suitcases (unless the suitcases are entirely unusable as a result of one single incidence of damage). 6. Loss or damage due to cracking, scratching, breakage of or damage to china, glass (other than glass in watch faces, cameras, binoculars or telescopes), porcelain or other brittle or fragile articles unless caused by fire, theft, or an accident to the aircraft, sea vessel, train or vehicle in which they are being carried. 23 7. Loss or damage due to breakage of Sports Equipment or damage to sports clothing whilst in use. 8. Loss, theft of or damage to business equipment, business goods, samples, tools of trade and other items used in connection with your business, trade, profession or occupation. 9. Loss or damage caused by wear and tear, depreciation (loss in value), atmospheric or climatic conditions, moth, vermin, any process of cleaning repairing or restoring, mechanical or electrical breakdown. 10. Anything mentioned in ‘What is not covered’ on page 14 applicable to all sections of the policy. Claims evidence We will require (at your own expense) the following evidence where relevant: • A police report from the local Police in the country where the incident occurred for all loss, theft or attempted theft. • A Property Irregularity Report from the airline or a letter from the carrier where loss, theft or damage occurred in their custody. • A letter from your tour operator’s representative, hotel or accommodation provider where appropriate. • All travel tickets and tags for submission. • An original receipt, proof of ownership or valuations for items lost, stolen or damaged and for all items of clothing, medication and toiletries replaced if your baggage is temporarily lost in transit for more than 24 hours. • A letter from the carrier confirming the number of hours your baggage was delayed for. • Repair report where applicable. • Any other relevant information relating to your claim under this section that we may ask you for. To make a claim under this section please call 01702 427172 Section F – Personal money, passport and travel documents (only operative if indicated in the Certificate of Insurance) What is covered We will pay you up to the amount as shown in the schedule of benefits for the accidental loss of, theft of or damage to personal money and documents (including the unused portion of passports, visas and driving licences). We will also cover foreign currency during the 72 hours immediately before your departure on the outward journey. The maximum we will pay for the following items is: a) for bank notes, currency notes and coins is as shown under the cash limit in the schedule of benefits. b) for bank notes, currency notes and coins, if you are under the age of 18 is as shown under the cash limit in the schedule of benefits. c) for all other personal money and documents (including the cost of the emergency replacement or temporary passpor t or visa) is as shown under the schedule of benefits. Special conditions relating to claims 1. You must report to the local Police in the country where the incident occurred within 24 hours of discovery or as soon as possible after that and get (at your own expense) a written report of the loss, theft or attempted theft of all personal money, passports or documents. 2. If personal money or passports are lost, stolen or damaged while in the care of a hotel or your accommodation provider you must report details of the loss, theft or damage to them in writing and get (at your own expense) written confirmation. Keep all travel tickets and tags for submission if a claim is to be made under this policy. 3. If documents are lost, stolen or damaged while in the care of a carrier, transport company, authority, hotel or your accommodation provider you must report details of the loss, theft or damage to them in writing and get (at your own expense) written confirmation. 4. If documents are lost, stolen or damaged whilst in the care of an airline you must: a) give formal written notice of the claim to the airline within the time limit set out in their conditions of carriage (please keep a copy). b) keep all travel tickets and tags for submission to us if you are going to make a claim under this policy. 5. You must provide (at your own expense) an original receipt or proof of ownership for items lost, stolen or damaged to help you to substantiate your claim. 24 What is not covered 1. The excess as shown in the schedule of benefits, unless you have purchased the excess waiver and this is shown on your Certificate of Insurance. 2. Loss, theft of or damage to personal money or your passport or visa if left unattended at any time (including in a vehicle, in checked in luggage or while in the custody of a carrier, tour operator or public transport operator) unless deposited in a hotel safe, safety deposit box or left in your locked accommodation. 3. Loss, theft of or damage to travellers’ cheques if you have not complied with the issuer’s conditions or where the issuer provides a replacement service. 4. Loss or damage due to delay, confiscation or detention by customs or any other authority. 5. Loss or damage due to depreciation (loss in value), variations in exchange rates or shortages due to error or omission. 6. Travel, event or entertainment tickets paid for using any airline mileage or supermarket reward scheme (for example Avios), unless evidence of specific monetary value can be provided. 7. Anything mentioned in ‘What is not covered’ on page 14 applicable to all sections of the policy. Claims evidence We will require (at your own expense) the following evidence where relevant: • A police report from the local Police in the country where the incident occurred for all loss, theft or attempted theft. • A letter from your tour operator’s representative, hotel or accommodation provider where appropriate. • All travel tickets and tags for submission. • Original receipts, proof of ownership or valuations for items lost, stolen or damaged. • Receipts or bills or proof of purchase for any transport and accommodation expenses claimed for. • Receipt for all currency and travellers cheques transactions. • Any other relevant information relating to your claim under this section that we may ask you for. To make a claim under this section please call 01702 427172 Section G – Personal liability What is covered We will pay you up to the amount as shown in the schedule of benefits (including legal costs and expenses) against any amount you become legally liable to pay as compensation for any claim or series of claims arising from any one event or source of original cause for accidental: 1. Bodily injury, death, illness or disease to any person who is not in your employment or who is not a close relative or persons residing with you but not paying for their accommodation. 2. Loss of or damage to property that does not belong to and is neither in the charge of or under the control of you, a close relative and/or anyone in your employment other than any temporary holiday accommodation occupied (but not owned) by you. Special conditions relating to claims 1. You must give us written notice of any incident, which may result in a claim as soon as possible. 2. You must send us every court claim form, summons, letter of claim or other document as soon as you receive it. 3. You must not admit any liability or pay, offer to pay, promise to pay or negotiate any claim without our permission in writing. 4. We will be entitled to take over and carry out in your name the defence of any claims for compensation or damages or otherwise against any third party. We will have full discretion in the conduct of any negotiation or proceedings or in the settlement of any claim and you will give us all necessary information and assistance which we may require. 5. If you die, your legal representative(s) will have the protection of this cover as long as they comply with the terms and conditions outlined in this policy. What is not covered 1. The excess as shown in the schedule of benefits in relation to any temporary holiday accommodation occupied by you unless you have purchased the excess waiver and this is shown on your Certificate of Insurance. 25 2. Compensation or legal costs arising directly or indirectly from: a) Liability which has been assumed by you under agreement (such as a hire agreement) unless the liability would have existed without the agreement. b) Pursuit of any business, trade, profession or occupation or the supply of goods or services. c) Ownership, possession or use of mechanically propelled vehicles, aircraft or watercraft (other than surfboards or manually propelled rowing boats, punts or canoes). d) The transmission of any contagious or infectious disease or virus. 3. Anything mentioned in ‘What is not covered’ on page 14 applicable to all sections of the policy. Claims evidence We will require (at your own expense) the following evidence where relevant: • Full details in writing of any incident. • Any court claim form, summons, letter of claim or other document must be sent to us as soon as you receive it. • Any other relevant information relating to your claim under this section that we may ask you for. To make a claim under this section please call 01702 427172 Section H – Delayed departure or abandonment of trip What is covered If the public transport on which you are booked to travel: 1. is delayed at the final departure point from or to the United Kingdom (but not including delays to any subsequent outbound or return connecting public transport) for at least 12 hours from the scheduled time of departure, or 2. is cancelled before or after the scheduled time of departure as a result of any of the following events: a) strike or b) industrial action or c) adverse weather conditions or d) mechanical breakdown of or a technical fault occurring in the public transport on which you are booked to travel We will pay you: 1. up to the amount as shown in the schedule of benefits for the first completed 12 hours delay and as shown in the schedule of benefits for each full 12 hours delay after that, up to a maximum as shown in the schedule of benefits (which is meant to help you pay for telephone calls made and meals and refreshments purchased during the delay) provided you eventually travel, or 2. up to the amount as shown in the schedule of benefits for your proportion only of any irrecoverable unused travel and accommodation costs and other pre-paid charges which you have paid or are contracted to pay, if: a) after a delay of at least 12 hours, or b) following cancellation, no suitable alternative public transport is provided within 12 hours of the scheduled time of departure you choose to cancel your trip before departure from the United Kingdom. You can only claim under subsection 1. or 2. above for the same event, not both. You can only claim under one of either Section H – Delayed departure or Section I – Missed departure for the same event, not both Special conditions relating to claims 1. You must check in according to the itinerary given to you unless your tour operator has requested you not to travel to the airport. 2. You must get written confirmation (at your own expense) from the carriers (or their handling agents) of the cancellation, number of hours of delay and the reason for these together with confirmation of your check in times and details of any alternative transport offered. 3. You must comply with the terms of contract of the travel agent, tour operator, carrier or transport provider and seek financial compensation, assistance or a refund of your ticket from them in 26 accordance with such terms and/or (where applicable) your rights under EU Air Passenger Rights legislation in the event of cancellation or long delay of flights. 4. Where applicable you must get (at your own expense) written confirmation from the public transport operator (or their handling agents) and/or provider of accommodation (or their booking agents) that compensation, assistance or reimbursement of any costs, charges and expenses incurred by you will not be provided and the reason for this. What is not covered 1. The excess as shown in the schedule of benefits, unless you have purchased the excess waiver and this is shown on your Certificate of Insurance. 2. Claims arising directly or indirectly from: a) Strike or industrial action existing or being publicly announced by the date you purchased this insurance or at the time of booking any trip. b) An aircraft or sea vessel being withdrawn from service (temporary or otherwise) on the recommendation of the Civil Aviation Authority, Port Authority or any such regulatory body in a country to/from which you are travelling. c) Any delays to any subsequent outbound or return connecting public transport following your departure from the final departure point from or to the United Kingdom. d) Volcanic eruptions and/or volcanic ash clouds. 3. For subsection 2. only of ‘What is covered’: a) The cost of Air Passenger Duty (APD) whether irrecoverable or not. b) Travel tickets paid for using any airline mileage or supermarket reward scheme (for example Avios), unless evidence of specific monetary value can be provided. c) Accommodation costs paid for using any Timeshare, Holiday Property Bond or other holiday points scheme. In addition any property maintenance costs, fees or charges incurred by you, as part of your involvement in such schemes is not covered. d) Any costs incurred by you which are recoverable from the providers of the accommodation, their booking agents (or the administrators of either) or for which you receive or are expected to receive compensation or reimbursement. e) Any costs incurred by you which are recoverable from the public transport operator or for which you receive or are expected to receive compensation, damages, refund of tickets, meals, refreshments, accommodation, transfers, communication facilities or other assistance. f) Any costs incurred by you which are recoverable from your credit/debit card provider or for which you receive or are expected to receive compensation or re-imbursement. g) Any travel and accommodation costs, charges and expenses where the public transport operator has offered reasonable alternative travel arrangements. h) Any cost if your trip was booked as part of a package holiday. 4. Anything mentioned in ‘What is not covered’ on page 14 applicable to all sections of the policy. Claims evidence We will require (at your own expense) the following evidence where relevant: • Full details of the travel itinerary supplied to you. • A letter from the carriers (or their handling agents) confirming the number of hours delay, the reason for the delay and confirmation of your check in time. • In the case of cancellation claims, your booking confirmation together with written details from your travel agent, tour operator or provider of transport/accommodation of the separate costs of transport, accommodation and other pre-paid costs or charges that made up the total cost of the trip. • Your unused travel tickets. • Receipts or bills for any transport, accommodation or other costs, charges or expenses claimed for. • Written confirmation from the provider of transport/accommodation that compensation, assistance or reimbursement of any costs, charges and expenses incurred by you will not be provided and the reason for this. • Any other relevant information relating to your claim under this section that we may ask you for. To make a claim under this section please call 01702 427172 27 Section I – Missed departure on your outward journey What is covered We will pay you up to the amount as show in the schedule of benefits for reasonable additional accommodation (room only) and travel expenses necessarily incurred in reaching your overseas destination if you fail to arrive at the departure point in time to board the public transport on which you are booked to travel on for the initial international outbound leg of the trip as a result of: 1. the failure of other public transport or 2. an accident to or breakdown of the vehicle in which you are travelling or 3. an accident or breakdown happening ahead of you on a public road which causes an unexpected delay to the vehicle in which you are travelling or 4. strike, industrial action or adverse weather conditions. If the same expenses are also covered under Section H – Delayed departure you can only claim under one section for the same event, not both. Special conditions relating to claims 1. You must allow enough time for the public transport or other transport to arrive on schedule and to deliver you to the departure point. What is not covered 1. The excess as shown in the schedule of benefits, unless you have purchased the excess waiver and this is shown on your Certificate of Insurance. 2. Claims arising directly or indirectly from: a) Strike or industrial action existing or being publicly announced by the date you purchased this insurance or at the time of booking any trip. b) An accident to or breakdown of the vehicle in which you are travelling when a repairers report or other evidence is not provided. c) Breakdown of any vehicle owned by you which has not been serviced properly and maintained in accordance with manufacturer’s instructions. d) An aircraft or sea vessel being withdrawn from service (temporary or otherwise) on the recommendation of the Civil Aviation Authority, Port Authority or any such regulatory body in a country to/from which you are travelling. e) Your failure to arrive at the departure point in time to board any connecting public transport after your departure on the initial international outbound leg of the trip. f) Volcanic eruptions and/or volcanic ash clouds (except claims under subsection 1. of ‘What is covered’ above. g) Trips solely within the United Kingdom. 3. Additional expenses where the scheduled public transport operator has offered reasonable alternative travel arrangements. 4. Anything mentioned in ‘What is not covered on page 14 applicable to all sections of the policy. Claims evidence We will require (at your own expense) the following evidence where relevant: • A letter from the public transport provider detailing the reasons for failure. • A letter from the relevant public transport provider, carrier or authority confirming details of the strike, industrial action or adverse weather conditions. • Your unused travel tickets. • Receipts or bills or proof of purchase for any transport, accommodation or other costs, charges or expenses claimed for. • Any other relevant information relating to your claim under this section that we may ask you for. To make a claim under this section please call 01702 427172 Section J – Catastrophe What is covered We will pay you up to the amount as shown in the schedule of benefits for reasonable additional accommodation and transport costs incurred up to the standard of your original booking, if you need to move to other accommodation at any point during the trip as a result of fire, flood, earthquake, volcanic eruption, explosion, tsunami, landslide, avalanche, hurricane, storm or an outbreak of food poisoning or an infectious disease meaning you cannot use your booked accommodation. 28 If the same costs are also covered under Section A – Cancellation or curtailment charges you can only claim for these under one section for the same event. Special conditions relating to claims 1. You must get (at your own expense) written confirmation from the provider of the accommodation, the local Police or relevant authority that you could not use your accommodation and the reason for this. What is not covered 1. The excess as shown in the schedule of benefits, unless you have purchased the excess waiver and this is shown on your Certificate of Insurance. 2. Any costs incurred by you which are recoverable from the travel agent, tour operator or the providers of the accommodation or for which you receive or are expected to receive compensation or reimbursement. 3. Any costs for normal day to day living such as food and drink which you would have expected to pay during your trip. 4. Anything mentioned in ‘What is not covered’ on page 14 applicable to all sections of the policy. Claims evidence We will require (at your own expense) the following evidence where relevant: • Written confirmation from the company providing the accommodation, the local Police or relevant authority that you could not use your accommodation and the reason for this. • Receipts or bills for any transport, accommodation or other costs, charges or expenses claimed for. • Any other relevant information relating to your claim under this section that we may ask you for. To make a claim under this section please call 01702 427172 Section K – Legal expenses What is covered We will pay up to the amount as shown in the schedule of benefits for legal costs to pursue a civil action for compensation, against someone else who causes you bodily injury, illness or death. Where there are two or more insured persons insured by this policy, then the maximum amount we will pay for all such claims shall not exceed double the amount shown in the schedule of benefits. Special conditions relating to claims 1. We shall have complete control over the legal case through agents we nominate, by appointing agents of our choice on your behalf with the expertise to pursue your claim. 2. You must follow our agent’s advice and provide any information and assistance required within a reasonable timescale. 3. You must advise us of any offers of settlement made by the negligent third party and you must not accept any such offer without our permission. 4. We may include a claim for our legal costs and other related expenses. 5. We may, at our own expense, take proceedings in your name to recover compensation from any third party for any legal costs incurred under this policy. You must give us any assistance we require from you and any amount recovered shall belong to us. What is not covered We shall not be liable for: 1. Any claim where in our opinion there is insufficient prospect of success in obtaining reasonable compensation. 2. Legal costs and expenses incurred in pursuit of any claim against a travel agent, tour operator, carrier, us or our agents, Claims Settlement Agencies or their agents, someone you were travelling with, a person related to you, or another insured person. 3. Legal costs and expenses incurred prior to our written acceptance of the case. 4. Any claim where the legal costs and expenses are likely to be greater than the anticipated amount of compensation. 5. Any claim where legal costs and expenses are variable depending on the outcome of the claim. 29 6. Legal costs and expenses incurred if an action is brought in more than one country. 7. Any claim where in our opinion the estimated amount of compensation payment is less than £1,000 for each insured person. 8. Travel, accommodation and incidental costs incurred to pursue a civil action for compensation. 9. The costs of any Appeal. 10. Claims by you other than in your private capacity. 11. Anything mentioned in ‘What is not covered’ on page 14 applicable to all sections of the policy. Claims evidence We will require (at your own expense) the following evidence where relevant: • Relevant documentation and evidence to support your claim, including photographic evidence. • Any other relevant information relating to your claim under this section that we may ask you for. To make a claim under this section please call 01702 427172 Section L – Hijack What is covered We will pay you up to the amounts shown in the schedule of benefits for every complete period of 24 hours in the event of Hijack of the transport on which you are travelling. What is not covered 1. Any claim not substantiated by a written police report confirming the length and exact nature of the incident. 2. Anything mentioned in ‘What is not covered’ on page 14 applicable to all sections of the policy. Claims evidence We will require (at your own expense) the following evidence where relevant: • Relevant documentation and evidence to support your claim, including written police report. • Any other relevant information relating to your claim under this section that we may ask you for. To make a claim under this section please call 01702 427172 Section M – Mugging What is covered We will pay you up to the amounts shown in the schedule of benefits for each night spent receiving hospital treatment during your journey as a result of bodily injuries sustained by you during a Mugging Special conditions: You can only claim under either Section C - Hospital Benefit or Section M – Mugging, above for the same event, not both. What is not covered 1. Any claim not substantiated by a written police report confirming the nature of the assault. 2. Anything mentioned in ‘What is not covered’ on page 14 applicable to all sections of the policy. Claims evidence We will require (at your own expense) the following evidence where relevant: • Relevant documentation and evidence to support your claim, including written police report. • Any other relevant information relating to your claim under this section that we may ask you for. To make a claim under this section please call 01702 427172 Section N – Withdrawal of services What is covered We will pay you up to the amounts shown in the schedule of benefits for every complete period of 24 hours your pre booked hotel/ accommodation completely withdraws the following services due to strike or industrial action: 30 1. Water or electrical facilities, or 2. Swimming pool facilities, or 3. Kitchen services to the extent that no food is available, or 4. Chambermaid facilities. What is not covered 1. Any claim not substantiated by a written report from the hotel/accommodation management confirming the exact length, nature and cause of the disruption. 2. Claims arising directly or indirectly from strike or industrial action which was advised or known to you at the time this policy was purchased or you booked the trip. 3. Claims for services which were not available prior to any strike or industrial action. 4. Claims where the hotel or tour company have made alternative arrangements or offered financial compensation for the services or facilities being unavailable 5. Anything mentioned in ‘What is not covered’ on page 14 applicable to all sections of the policy. Claims evidence We will require (at your own expense) the following evidence where relevant: • Relevant documentation and evidence to support your claim, including photographic evidence. • Any other relevant information relating to your claim under this section that we may ask you for. To make a claim under this section please call 01702 427172 Sections - O1, O2, O3, O4 and O5 – Winter sports (only operative if indicated in the Certificate of Insurance) Winter sports activities covered on a recreational, amateur, non competitive basis, if the appropriate winter sports premium has been paid. Personal liability benefit – excluded if marked with * Airboarding Big foot skiing Blade skating Dry slope skiing Glacier skiing/walking Husky dog sledding (organised and with experienced local driver) *Ice go karting (within organiser’s guidelines) Ice skating *Ice windsurfing Kick sledging Ski-blading Ski boarding Ski run walking Skiing on piste** Skiing alpine Skiing – mono Skiing - off piste with a guide** Sledging/tobogganing on snow *Sledging/sleigh riding as a passenger (pulled by horse or reindeer) Snow blading Snow boarding on piste** Snow boarding - off piste with a guide** Snow carving (using non powered hand tools only and not working above 3 Metres from the ground) Snow shoe walking Snow tubing Snow mobiling as a passenger (organised and with Experienced local driver) Winter walking (using crampons and ice picks only) ** A piste is a recognised and marked ski run within the resort boundaries. Cover for sections O1, O2, O3, O4 and O5 only operates:1. Under single trip policies - if the appropriate winter sports section is shown as operative in the Certificate of Insurance and the appropriate additional premium has been paid. 2. Under annual multi trip policies - for a period no more than 17 days in total in each period of insurance, providing the appropriate winter sports section is shown as operative in the Certificate of Insurance. Section O1 – Ski equipment (only operative if indicated in the Certificate of Insurance) What is covered We will pay you up to the amount as shown in the schedule of benefits for the accidental loss of, theft of or damage to your own ski equipment, or up to the amount as shown in the schedule of benefits for hired ski equipment. The amount payable in the event of a total loss, will be the value at today’s prices less a deduction for wear, tear and depreciation (loss of value - calculated from the table below), or we may replace, reinstate or repair the lost or damaged ski equipment. 31 Age of ski equipment Less than 1 year old Over 1 year old Over 2 years old Over 3 years old Over 4 years old Over 5 years old Amount payable 90% of value 70% of value 50% of value 30% of value 20% of value No payment The maximum we will pay for any one article, pair or set of articles is the amount payable calculated from the table above or the single article limit as shown in the schedule of benefits whichever is the less. Special conditions relating to claims 1. You must report to the local Police in the country where the incident occurred within 24 hours of discovery or as soon as possible after that and get a written report (at your own expense) of the loss, theft or attempted theft of all ski equipment. 2. If ski equipment is lost, stolen or damaged while in the care of a carrier, transport company, authority, hotel or your accommodation provider you must report details of the loss, theft or damage to them in writing and get (at your own expense) written confirmation. 3. If ski equipment is lost, stolen or damaged whilst in the care of an airline you must: a) get a Property Irregularity Report from the airline b) give formal written notice of the claim to the airline, within the time limit set out in their conditions of carriage (please keep a copy) c) keep all travel tickets and tags for submission if you are going to make a claim under this policy. 4. You must provide (at your own expense) an original receipt or proof of ownership for items lost, stolen or damaged to help you to substantiate your claim. What is not covered 1. The excess as shown in the schedule of benefits, unless you have purchased the excess waiver and this is shown on your Certificate of Insurance. 2. Loss, theft of or damage to ski equipment contained in or stolen from an unattended vehicle: a) overnight between 9 pm and 9 am (local time) or b) at any time between 9 am and 9 pm (local time) unless: i) it is locked out of sight in a secure baggage area and ii) forcible and violent means have been used by an unauthorised person to gain entry into the vehicle and evidence of this entry is available. 3. Loss or damage due to delay, confiscation or detention by customs or any other authority. 4. Loss or damage caused by wear and tear, depreciation (loss in value), atmospheric or climatic conditions, moth, vermin, any process of cleaning repairing or restoring, mechanical or electrical breakdown. 5. Anything mentioned in ‘What is not covered’ on page 14 applicable to all sections of the policy. Claims evidence We will require (at your own expense) the following evidence where relevant: • • • • • • • A police report from the local Police in the country where the incident occurred for all loss, theft or attempted theft. A Property Irregularity Report from the airline or a letter from the carrier where loss, theft or damage occurred in their custody. A letter from your tour operator’s representative, hotel or accommodation provider where appropriate. All travel tickets and tags for submission. An original receipt or proof of ownership for items lost, stolen or damaged. Repair report where applicable. Any other relevant information relating to your claim under this section that we may ask you for. To make a claim under this section please call 01702 427172 32 Section O2 – Ski equipment hire (only operative if indicated in the Certificate of Insurance) What is covered We will pay you up to the amount as shown in the schedule of benefits for the reasonable cost of hiring replacement ski equipment as a result of the accidental loss of, theft of or damage to or temporary loss in transit for more than 24 hours of your own ski equipment. Special conditions relating to claims 1. You must report to the local Police in the country where the incident occurred within 24 hours of discovery or as soon as possible after that and get (at your own expense) a written report of the loss, theft or attempted theft of your own ski equipment. 2. If ski equipment is lost, stolen or damaged while in the care of a carrier, transport company, authority, hotel or your accommodation provider you must report details of the loss, theft or damage to them in writing and get (at your own expense) written confirmation. 3. If ski equipment is lost, stolen or damaged whilst in the care of an airline you must: a) get a Property Irregularity Report from the airline. b) give formal written notice of the claim to the airline within the time limit set out in their conditions of carriage (please keep a copy). c) keep all travel tickets and tags for submission if you are going to make a claim under this policy. 4. You must provide (at your own expense) an original receipt or proof of ownership for items lost, stolen or damaged to help you to substantiate your claim. What is not covered 1. Loss, theft of or damage to ski equipment contained in an unattended vehicle: a) overnight between 9 pm and 9 am (local time) or b) at any time between 9 am and 9 pm (local time) unless: i) it is locked out of sight in a secure baggage area and ii) forcible and violent means have been used by an unauthorised person to gain entry into the vehicle and evidence of this entry is available. 2. Loss or damage due to delay, confiscation or detention by customs or any other authority. 3. Loss or damage caused by wear and tear, depreciation (loss of value), atmospheric or climatic conditions, moth, vermin, any process of cleaning repairing or restoring, mechanical or electrical breakdown. 4. Anything mentioned in ‘What is not covered’ on page 14 applicable to all sections of the policy. Claims evidence We will require (at your own expense) the following evidence where relevant: • A police report from the local Police in the country where the incident occurred for all loss, theft or attempted theft. • A Property Irregularity Report from the airline or a letter from the carrier where loss, theft or damage occurred in their custody. • A letter from your tour operator’s representative, hotel or accommodation provider where appropriate. • All travel tickets and tags for submission. • An original receipt, proof of ownership or valuations for items lost, stolen or damaged together with receipts or bills detailing the costs incurred of hiring replacement ski equipment. • Any other relevant information relating to your claim under this section that we may ask you for. To make a claim under this section please call 01702 427172 Section O3 – Ski pack (only operative if indicated in the Certificate of Insurance) What is covered We will pay you: a) Up to the amount as shown in the schedule of benefits for the unused portion of your ski pack (ski school fees, lift passes and hired ski equipment) following your bodily injury, illness or disease. 33 b) Up to the amount as shown in the schedule of benefits for the unused portion of your lift pass if you lose it. Special conditions relating to claims 1. You must provide (at your own expense) written confirmation to us from a medical practitioner that the bodily injury, illness or disease prevented you from using your ski pack. What is not covered 1. Anything mentioned in ‘What is not covered’ on page 14 applicable to all sections of the policy. Claims evidence We will require (at your own expense) the following evidence where relevant: • A medical certificate from the treating medical practitioner explaining why you were unable to use your ski pack. • Any other relevant information relating to your claim under this section that we may ask you for. To make a claim under this section please call 01702 427172 Section O4 – Piste closure (only operative if indicated in the Certificate of Insurance) What is covered We will pay you up to the amount as shown in the schedule of benefits for transport costs necessarily incurred by you, to travel to and from an alternative site if either lack of or excess of snow, or an avalanche results in the skiing facilities (excluding cross-country skiing) in your resort being closed and it is not possible to ski. The cover only applies: a) To the resort which you have pre-booked for a period more than 24 hours and for as long as these conditions continue at the resort, but not more than the pre-booked period of your trip and b) To trips taken outside the United Kingdom during the published ski season for your resort. Special conditions relating to claims 1. You must get (at your own expense) written confirmation from the relevant authority, ski lift operator or your tour operator’s representative of the number of days skiing facilities were closed in your resort and the reason for the closure. What is not covered 1. Any circumstances where transport costs, compensation or alternative skiing facilities are provided to you. 2. Anything mentioned in ‘What is not covered’ on page 14 applicable to all sections of the policy. Claims evidence We will require (at your own expense) the following evidence where relevant: • A letter from the relevant authority, ski lift operator or your tour operator’s representative of the number of days skiing facilities were closed in your resort and the reason for the closure. • Receipts or bills for any transport costs claimed for. • Any other relevant information relating to your claim under this section that we may ask you for. To make a claim under this section please call 01702 427172 Section O5 – Delay due to avalanche (only operative if indicated in the Certificate of Insurance) What is covered We will pay you up to the amount as shown in the schedule of benefits for reasonable additional accommodation (room only) and travel expenses necessarily incurred in reaching your booked resort or returning home if you are delayed for more than 24 hours by avalanche. The cover only applies to trips taken outside the United Kingdom during the published ski season for your resort. Special conditions relating to claims 1. You must get (at your own expense) written confirmation from the relevant authority or your tour operator’s representative confirming the event. 34 What is not covered 1. Anything mentioned in ‘What is not covered’ on page 14 applicable to all sections of the policy. Claims evidence We will require (at your own expense) the following evidence where relevant: • A letter from the relevant authority, ski lift operator or your tour operator’s representative of the number of days skiing facilities were closed in your resort and the reason for the closure. • Receipts or bills for any transport costs claimed for. • Any other relevant information relating to your claim under this section that we may ask you for. To make a claim under this section please call 01702 427172 Sections P1, P2, and P3 – Golf cover (only operative if indicated in the Certificate of Insurance) Cover for sections P1, P2, and P3 only operates:1. Under single and annual multi trip policies - if the appropriate Golf cover section is shown as operative in the Certificate of Insurance and the appropriate additional premium has been paid. Section P1 – Golf equipment (only operative if indicated in the Certificate of Insurance) What is covered We will pay you up to the amount as shown in the schedule of benefits for the accidental loss of, theft of or damage to your golf equipment or up to the amount as shown in the schedule of benefits for hired golf equipment. The amount payable in the event of a total loss, will be the value at today’s prices less a deduction for wear, tear and depreciation (loss of value - calculated from the table below), or we may replace, reinstate or repair the lost or damaged golf equipment. Age of golf equipment Less than 1 year old Over 1 year old Over 2 years old Over 3 years old Over 4 years old Over 5 years old Amount payable 90% of value 70% of value 50% of value 30% of value 20% of value No payment The maximum we will pay for any one article, pair or set of articles is the amount payable calculated from the table above or the single article limit as shown in the schedule of benefits whichever is the less. Special conditions relating to claims 1. You must report to the local Police in the country where the incident occurred within 24 hours of discovery or as soon as possible after that and get a written report (at your own expense) of the loss, theft or attempted theft of all golf equipment. 2. If golf equipment is lost, stolen or damaged while in the care of a carrier, transport company, authority, hotel or your accommodation provider you must report details of the loss, theft or damage to them in writing and get (at your own expense) written confirmation. 3. If golf equipment is lost, stolen or damaged whilst in the care of an airline you must: a. get a Property Irregularity Report from the airline b. give formal written notice of the claim to the airline, within the time limit set out in their conditions of carriage (please keep a copy) c. keep all travel tickets and tags for submission if you are going to make a claim under this policy. 4. You must provide (at your own expense) an original receipt or proof of ownership for items lost, stolen or damaged to help you to substantiate your claim. What is not covered 1. The excess as shown in the schedule of benefits, unless you have purchased the excess waiver and this is shown on your Certificate of Insurance. 35 2. Loss, theft of or damage to golf equipment contained in or stolen from an unattended vehicle: a) overnight between 9 pm and 9 am (local time) or b) at any time between 9 am and 9 pm (local time) unless: i) it is locked out of sight in a secure baggage area and ii) forcible and violent means have been used by an unauthorised person to gain entry into the vehicle and evidence of this entry is available. 3. Loss or damage due to delay, confiscation or detention by customs or any other authority. 4. Loss or damage caused by wear and tear, depreciation (loss in value), atmospheric or climatic conditions, moth, vermin, any process of cleaning repairing or restoring, mechanical or electrical breakdown. 5. Anything mentioned in ‘What is not covered’ on page 14 applicable to all sections of the policy. Claims evidence We will require (at your own expense) the following evidence where relevant: • A police report from the local Police in the country where the incident occurred for all loss, theft or attempted theft. • A Property Irregularity Report from the airline or a letter from the carrier where loss, theft or damage occurred in their custody. • A letter from your tour operator’s representative, hotel or accommodation provider where appropriate. • All travel tickets and tags for submission. • An original receipt or proof of ownership for items lost, stolen or damaged. • Repair report where applicable. • Any other relevant information relating to your claim under this section that we may ask you for. To make a claim under this section please call 01702 427172 Section P2 – Hole-in-one (only operative if indicated in the Certificate of Insurance) What is covered We will pay you up to the amount as shown in the schedule of benefits for customary celebratory expenses You incurred within the golf club premises immediately following you achieving a hole-in-one during a competition round. Special conditions relating to claims 1. You must get (at your own expense) a written report from the golf club secretary confirming the competition details counter signed by your playing partner together with a certified copy of your score card. 2. You must provide (at your own expense) receipts from the golf club for expenditure incurred immediately following your hole-in-one to help you to substantiate your claim. What is not covered 1. Anything mentioned in ‘What is not covered’ on page 14 applicable to all sections of the policy. Claims evidence We will require (at your own expense) the following evidence where relevant: • Receipts or bills from the golf club for any customary celebratory expenses claimed for. • Any other relevant information relating to your claim under this section that we may ask you for To make a claim under this section please call 01702 427172 Section P3 – Golf course closure (only operative if indicated in the Certificate of Insurance) What is covered If adverse weather conditions cause the total closure of all golf facilities for more than one day at the golf course you have pre-booked into, you will be covered for the limits shown in the schedule of benefits for reasonable additional transport costs and green fee costs to enable you to play at a 36 different golf course. If it is not possible to arrange transport to a different golf course, you will receive the daily benefit shown in the schedule of benefits for each whole day’s pre-booked golf lost. Special conditions relating to claims 1. Cover will only apply for as long as there are adverse weather conditions closing all golfing facilities at your resort. 2. You must provide (at your own expense) written confirmation from the appropriate golf course authority to confirm that all facilities at your pre-booked golf course were closed and/or that it was not possible to travel to an alternative golf course. What is not covered 1. You will not be covered for any amount that you can get back from someone or somewhere else. 2. Anything mentioned in ‘What is not covered’ on page 14 applicable to all sections of the policy. To make a claim under this section please call 01702 427172 Sections Q1, Q2 and Q3 – Business Extension (only operative if indicated in the Certificate of Insurance) Cover for sections Q1, Q2, and Q3 only operates:1. Under single and annual multi trip policies - if the appropriate Business extension section is shown as operative in the Certificate of Insurance and the appropriate additional premium has been paid. Section Q1 – Business equipment (only operative if indicated in the Certificate of Insurance) What is covered 1. We will pay You, up to the amount shown in the Schedule of benefits, for the accidental loss of, theft of or damage to Your Business equipment. The amount payable will be the value at today’s prices less a deduction for wear tear and depreciation, (calculated from the table below) or We may at Our option replace, re-instate or repair the lost or damaged Business equipment. Age of Business equipment Less than 1 year old Over 1 year old Over 2 years old Over 3 years old Over 4 years old Over 5 years old Amount payable 90% of value 70% of value 50% of value 30% of value 20% of value No payment The maximum We will pay for the following items is: a) For any single item is as shown in the Schedule of benefits. b) For Business equipment and business samples as shown in the Schedule of benefits. 2. We will also pay You up to the amount shown in the Schedule of benefits for: a) emergency courier expenses You have incurred, in obtaining Business equipment, which is essential to Your intended business itinerary. b) the purchase of essential items, if Your Business equipment is delayed or lost in transit on Your outward journey for more than 12 hours. Special conditions relating to claims 1. You must report to the local Police in the country where the incident occurred within 24 hours of discovery or as soon as possible after that and obtain a written report of the loss, theft or attempted theft of all Business equipment. 2. For items damaged whilst on Your Trip, You must obtain an official report from a retailer confirming the item is damaged and beyond repair. 3. If Your Business equipment is misdirected or delayed You must supply receipts for the essential items purchased and written confirmation from the carrier as to the exact nature and length of delay or misdirection. 4. You must provide an original receipt or proof of ownership for items lost, stolen or damaged to help You to substantiate Your claim. 37 What is not covered 1. The Excess as shown in the Schedule of benefits, (except under sub section 2. a) unless You have purchased the Excess waiver and this is shown on Your Certificate of Insurance. 2. Loss, theft of or damage to Business equipment contained in or stolen from an Unattended vehicle: a) overnight between 9pm and 8am (local time) or b) at any time between 8am and 9pm (local time) unless it is in the locked boot which is separate from the passenger compartment, or for those vehicles without a separate boot, locked in the vehicle and covered from view and evidence of forcible and violent entry to the vehicle is confirmed by a police report. 3. Claims arising from Business equipment left Unattended in a place to which the general public has access (e.g. on a beach/around a swimming pool) or left in the custody of anyone other than an Insured person. 4. Claims arising from Business equipment whilst in the custody of a carrier, tour operator or Public transport operator. 5. Loss or damage due to delay, confiscation or detention by customs or other authority. 6. Loss or damage caused by wear and tear, depreciation, deterioration, atmospheric or climatic conditions, moth, vermin, any process of cleaning repairing or restoring, mechanical or electrical breakdown. 7. Claims arising from damage caused by leakage of powder or liquid carried within personal effects or Business equipment. 8. Claims arising from loss or theft from Your accommodation unless there is evidence of forced entry which is confirmed by a police report. 9. Any loss or damage arising out of You engaging in manual work. 10. Any financial loss, costs or expenses arising from the interruption of Your business. 11. Anything mentioned in ‘What is not covered’ on page 14 applicable to all sections of the policy. To make a claim under this section please call 01702 427172 Section Q2 – Business equipment hire (only operative if indicated in the Certificate of Insurance) What is covered We will pay You up to the amount as shown in the Schedule of Benefits for each 24 hour period, for the cost of necessary hire of Business equipment following: a) loss or damage of Your Business equipment or; b) the temporary loss in transit during the outward journey for at least 12 hours of Your Business equipment. Special conditions relating to claims 1. You must report to the local Police in the country where the incident occurred within 24 hours of discovery or as soon as possible after that and obtain a written report of the loss, theft or attempted theft of all Business equipment. 2. For items damaged whilst on Your Trip, You must obtain an official report from a retailer confirming the item is damaged and beyond repair. 3. If Your Business equipment is misdirected or delayed You must obtain written confirmation from the carrier as to the exact nature and length of delay or misdirection. 4. You must provide an original receipt or proof of ownership for items lost, stolen or damaged to help You to substantiate Your claim. What is not covered 1. Loss, theft of or damage to Business equipment contained in or stolen from an Unattended vehicle: a) overnight between 9pm. and 8am (local time) or b) at any time between 8am and 9pm (local time) unless it is in the locked boot which is separate from the passenger compartment, or for those vehicles without a separate boot, locked in the vehicle and covered from view and evidence of forcible and violent entry to the vehicle is confirmed by a police report. 38 2. Claims arising from Business equipment left Unattended in a place to which the general public has access (e.g. on a beach/around a swimming pool) or left in the custody of anyone other than an Insured Person. 3. Claims arising from Business equipment whilst in the custody of a carrier, tour operator or Public transport operator. 4. Loss or damage due to delay, confiscation or detention by customs or other authority. 5. Loss or damage caused by wear and tear, depreciation, deterioration, atmospheric or climatic conditions, moth, vermin, any process of cleaning repairing or restoring, mechanical or electrical breakdown. 6. Claims arising from damage caused by leakage of powder or liquid carried within personal effects or Business equipment. 7. Any loss or damage arising out of You engaging in manual work. 8. Business equipment shipped as Freight or under a Bill of Lading. 9. Claims arising from loss or theft from Your accommodation unless there is evidence of forced entry which is confirmed by a police report. 10. Any financial loss, costs or expenses arising from the interruption of Your business. 11 Anything mentioned in ‘What is not covered’ on page 14 applicable to all sections of the policy. To make a claim under this section please call 01702 427172 Section Q3 – Business money (only operative if indicated in the Certificate of Insurance) What is covered We will pay You up to the amount shown in the Schedule of Benefits for the accidental loss of, theft of or damage to Business money. The maximum We will pay for the following items is: a) For cash (bank notes, currency notes and coins) as shown in the Schedule of Benefits. b) For all other Business money as shown in the Schedule of Benefits. Special conditions relating to claims 1. You must report to the local Police in the country where the incident occurred within 24 hours of discovery or as soon as possible after that and obtain a written report of the loss, theft or attempted theft of all Business money. 2. You must provide an original receipt for items lost, stolen or damaged including foreign currency exchange receipts or statements, statement from Your business bank accounts showing the amounts withdrawn to help You to substantiate Your claim. 3. If Business money is lost, stolen or damaged while deposited in a hotel safe or safety deposit box You must report to the hotel, in writing, details of the loss, theft or damage and obtain written confirmation. What is not covered 1. The Excess as shown in the Schedule of Benefits, Limits and Excesses unless You have purchased the Excess waiver and this is shown on Your Certificate of Insurance. 2. Loss or theft of Business money left Unattended at any time (including in a vehicle, in checked in luggage or while in the custody of a carrier, tour operator or Public transport operator) unless deposited in a hotel safe or safety deposit box. 3. Loss, theft of or damage to travellers’ cheques if You have not complied with the issuer’s conditions or where the issuer provides a replacement service. 4. Loss or damage due to delay, confiscation or detention by customs or other authority. 5. Loss or damage due to depreciation in value, variations in exchange rates or shortages due to error or omission. 6. Anything mentioned in ‘What is not covered’ on page 14 applicable to all sections of the policy. 39 Claims evidence We will require (at your own expense) the following evidence where relevant: • • • • • A police report from the local Police in the country where the incident occurred for all loss, theft or attempted theft. A letter from your hotel or accommodation provider where appropriate. Original receipts, proof of ownership or valuations for items lost, stolen or damaged. Receipt for all currency and travellers cheques transactions. Any other relevant information relating to your claim under this section that we may ask you for. To make a claim under this section please call 01702 427172 Section R – Wedding/Civil partnership cover (only operative if indicated in the Certificate of Insurance) Cover for section R only operates:1. Under single and annual multi trip policies - if the appropriate Wedding/Civil partnership cover section is shown as operative in the Certificate of Insurance and the appropriate additional premium has been paid. Special Definitions (which are shown in italics) You/your/insured person/insured couple - means the couple travelling abroad to be married or enter into a civil partnership whose names appear in the validation certificate. Wedding/Civil partnership attire - means dress, suits, shoes and other accessories bought specifically for the Wedding/Civil Partnership. Cosmetics, hairstyling and flowers -means the prebooked and paid for services or purchased items relating to make-up, hairstyling and flowers for use on the day of your wedding/civil partnership What is covered 1. We will pay up to the amounts shown in the schedule of benefits for the accidental loss of, theft of or damage to the items shown below: a) for each Wedding/Civil partnership ring taken or purchased on the trip for each insured person. b) for Wedding/Civil partnership gifts taken or purchased on the trip for the insured couple. c) for your Wedding/Civil partnership attire which is specifically to be worn by you on your Wedding/Civil partnership day. d) for non recoverable costs relating to your cosmetics, hairstyling and flowers specifically designated for use by You on your Wedding/Civil partnership day The amount payable will be the value at today’s prices less a deduction for wear tear and depreciation, or we may at our option replace, re-instate or repair the lost or damaged baggage/valuables. 2. We will pay the insured couple up to the amount shown in the schedule of benefits for the reasonable additional costs incurred to reprint/make a copy of or retake the photographs/video recordings either at a later date during the trip or at a venue in United Kingdom if: a) the professional photographer who was booked to take the photographs/video recordings on your Wedding/Civil partnership day is unable to fulfil such obligations due to bodily injury, illness or unavoidable and unforeseen transport problems, or b) the photographs/video recordings of the Wedding/Civil partnership day taken by a professional photographer are lost, stolen or damaged within 14 days after the wedding day and whilst you are still at the holiday/honeymoon location. You may claim only under one of either Section R – Wedding/Civil partnership cover or Section E – Baggage, for the same event, not both. Special conditions relating to claims 1. You must report to the local Police in the country where the incident occurred within 24 hours of discovery or as soon as possible after that and get (at your own expense) a written report of the loss, theft or attempted theft of all baggage/ valuables. 40 2. If valuables are lost, stolen or damaged while in a hotel safe or safety deposit box You must report to the hotel, in writing, details of the loss, theft, or damage and get (at your own expense) written confirmation. 3. If baggage is lost, stolen or damaged while in the care of a carrier, transport company, authority, hotel or accommodation provider you must report to them, in writing, details of the loss, theft or damage and obtain written confirmation. If baggage is lost, stolen or damaged whilst in the care of an airline you must: a) get a Property Irregularity Report from the airline. b) give written notice of the claim to the airline within the time limit contained in their conditions of carriage (please keep a copy). c) keep all travel tickets and tags for submission if you are going to make a claim under this policy. d) For items damaged whilst on your trip you must get (at your own expense) an official report from a local retailer confirming the item is damaged and beyond repair. e) For cosmetics, hairstyling and flowers; you must provide written confirmation from the relevant local provider that no refund has been made for the pre booked services. 4. You must provide (at your own expense) an original receipt or proof of ownership for items lost, stolen or damaged to help you to substantiate your claim. What is not covered 1. The excess as shown in the schedule of benefits, unless you have purchased the excess waiver and this is shown on your Certificate of Insurance. 2. Loss, theft of or damage valuables or your passport left unattended at any time (including in a vehicle, in checked in luggage or while in the custody of a carrier, tour operator or public transport operator) unless deposited in a hotel safe or safety deposit box. 3. Claims arising from baggage left unattended in a place to which the general public has access (e.g. on a beach/around a swimming pool) or left in the custody of anyone other than an insured person or your travelling companion. 4. Loss, theft of or damage to baggage contained in an unattended vehicle: a) overnight between 9 p.m. and 8 a.m. (local time) or b) at any time between 8 a.m. and 9 p.m. (local time) unless it is in the locked boot which is separate from the passenger compartment for those vehicles with a boot, or for those vehicles without a separate boot locked in the vehicle and covered from view and there is evidence of forced entry which is confirmed by a police report. 5. Loss or damage due to delay, confiscation or detention by customs or other authority. 6. Loss, theft of or damage to unset precious stones, contact or corneal lenses, hearing aids, dental or medical fittings, antiques, musical instruments, documents of any kind, bonds, securities, perishable goods, bicycles, and damage to suitcases (unless the suitcase is entirely unusable as a result of one single incidence of damage). 7. Loss or damage due to cracking, scratching, breakage of or damage to china, glass (other than glass in watch faces, cameras, binoculars or telescopes), porcelain or other brittle or fragile articles unless caused by fire, theft, or accident to the aircraft, sea vessel, train or vehicle in which they are being carried. 8. Loss or damage due to breakage of sports equipment or damage to sports clothing whilst in use. 9. Loss, theft of or damage to business goods, samples, tools of trade, motor accessories and other items used in connection with your business, trade, profession or occupation. 10. Loss or damage caused by wear and tear, depreciation, deterioration, atmospheric or climatic conditions, moth, vermin, any process of cleaning repairing or restoring, mechanical or electrical breakdown. 11. Claims arising from damage caused by leakage of powder or liquid carried within personal effects or baggage. 12. Claims arising for personal money. 13. Claims arising from loss or theft from your accommodation unless there is evidence of forced entry which is confirmed by a police report. 14. Anything mentioned in ‘What is not’ on page 14 covered applicable to all sections of the policy. 41 Claims evidence We will require (at your own expense) the following evidence where relevant: • • • • • • A police report from the local Police in the country where the incident occurred for all loss, theft or attempted theft. A Property Irregularity Report from the airline or a letter from the carrier where loss, theft or damage occurred in their custody. All travel tickets and tags for submission. An original receipt, proof of ownership or valuations for items lost, stolen or damaged. Repair report where applicable. Any other relevant information relating to your claim under this section that we may ask you for. To make a claim under this section please call 01702 427172 Sections S1, S2, S3, S4 and S5 – CruisePlus extension (only operative if indicated in the Certificate of Insurance) Cover for sections S1, S2, S3, S4 and S5 only operates:1. Under single and annual multi trip policies - if the appropriate CruisePlus extension section is shown as operative in the Certificate of Insurance and the appropriate additional premium has been paid. Section S1 – Missed port departure (only operative if indicated in the Certificate of Insurance) What is covered We will pay you up to the amount shown in the Schedule of benefits for necessary additional accommodation (room only) and travel expenses incurred in joining your cruise ship journey at the next docking port if you fail to arrive at the international departure point in time to board the ship on which you are booked to travel on the initial international journey of your trip as a result of: 1. The failure of scheduled public transport; 2. An accident to or breakdown of the vehicle in which you are travelling; 3. An accident or breakdown occurring ahead of you on a motorway or dual carriageway which causes an unexpected delay to the vehicle in which you are travelling; or 4. Strike, industrial action or adverse weather conditions. Special conditions relating to claims 1. In the event of a claim arising from any delay arising from traffic congestion you must obtain written confirmation from the Police or emergency breakdown services of the location, reason for and duration of the delay. 2. You must allow sufficient time for the scheduled public transport or other transport to arrive on schedule and to deliver You to the departure point. What is not covered 1. The Excess shown in the Schedule of benefits. 2. Claims arising directly or indirectly from: a) Strike or industrial action or air traffic control delay existing or publicly announced by the date you purchased this insurance or at the time of booking any trip. b) An accident to or breakdown of the vehicle in which you are travelling for which a professional repairers report is not provided; c) Breakdown of any vehicle in which you are travelling if the vehicle is owned by you and has not been serviced properly and maintained in accordance with manufacturer’s instructions; or d) Withdrawal from service (temporary or otherwise) of an aircraft or sea vessel on the recommendation of the Civil Aviation Authority or a Port Authority or any such regulatory body in a country to/from which you are travelling. 3. Additional expenses where the scheduled public transport operator has offered reasonable alternative travel arrangements. 42 4. Additional expenses where your planned arrival time at the port is less than 3 hours in advance of the sail departure time if you are travelling independently and not part of an integrated cruise package. 5. Anything mentioned in “What is not covered” on page 14 applicable to all sections of the policy. To make a claim under this section please call 01702 427172 Section S2 – Cabin confinement (only operative if indicated in the Certificate of Insurance) What is covered We will pay up to the amount shown in the Schedule of benefits for each 24 hour period that you are confined by the ship’s medical officer to your cabin for medical reasons during the period of the trip. What is not covered 1. Any confinement to your cabin which has not been confirmed in writing by the ship’s medical officer. 2. Anything mentioned in “What is not covered” on page 14 applicable to all sections of the policy. To make a claim under this section please call 01702 427172 Section S3 – Itinerary change (only operative if indicated in the Certificate of Insurance) What is covered We will pay you up to the amount shown in the Schedule of benefits for each missed port in the event of cancellation of a scheduled port visit due to adverse weather or timetable restrictions. This must be confirmed by the cruise operator in writing confirming the reason for the missed port. What is not covered 1. Claims arising from a missed port caused by strike or industrial action if the strike or industrial action was existing or publicly announced by the date you purchased this insurance or at the time of booking any trip. 2. Your failure to attend the excursion as per your itinerary. 3. Claims arising from when your ship cannot put people ashore due to a scheduled tender operation failure. 4. Anything mentioned in “What is not covered” on page 14 applicable to all sections of the policy. To make a claim under this section please call 01702 427172 Section S4 – Unused excursions (only operative if indicated in the Certificate of Insurance) What is covered We will pay you up to the amount shown in the Schedule of benefits for the cost of pre-booked excursions, which you were unable to use as a direct result of being confined to your own cabin due to an accident or illness which is covered under section B – Emergency medical and other expenses. What is not covered 1. The Excess shown in the Schedule of benefits. 2. Anything mentioned in “What is not covered” on page 14 applicable to all sections of the policy. To make a claim under this section please call 01702 427172 43 Section S5 – Cruise interruption (only operative if indicated in the Certificate of Insurance) What is covered We will pay you up to the amount shown in the Schedule of benefits on additional travel expenses incurred to reach the next port in order to re-join the cruise, following your temporary illness requiring hospital treatment on dry land. Special conditions relating to claims 1. Prior to arranging any additional travel, you must contact the emergency assistance service so that we can approve and assist with any travel arrangements. You must also obtain a medical certificate from the medical practitioner in attendance to confirm the details of your unforeseen illness or injury. 2. If, at the time of requesting our assistance in the event of an interruption claim, satisfactory medical evidence is not supplied in order to substantiate that the claim is due to your unforeseen illness or injury, we will make all necessary arrangements at your cost and arrange appropriate reimbursement as soon as the claim has been validated. What is not covered 1. The Excess shown in the Schedule of benefits. 2. Claims where less than 25% of the trip duration remains. 3. Any claim arising directly or indirectly from a known pre-existing medical condition affecting you unless you have declared all pre-existing medical conditions to us and we have written to you accepting them for insurance. 4. Anything mentioned in “What is not covered” on page 14 applicable to all sections of the policy. To make a claim under this section please call 01702 427172 44 Making a complaint Solid Forsakringsaktiebolag aims to provide the highest standard of service to every customer. If our service does not meet your expectations, we want to hear about it so we can try to put things right. All complaints we receive are taken seriously. The following will help us understand your concerns and give you a fair response. Making your complaint If your complaint relates to a claim on your policy, please contact Claims Settlement Agencies by telephone, mail or email at: Claims Settlement Agencies 308-314 London Road Hadleigh Benfleet Essex SS7 2DD Telephone 01702 427172 or by email to [email protected] If your complaint relates to your policy, please contact Explorer Travel Insurance by telephone, mail or email at: The Managing Director Explorer Travel Insurance Suite 9, Chalkwell Lawns 648-656 London Road Westcliff on Sea SS0 9HR Telephone 0800 043 4003 or by email to [email protected] When you make contact please provide the following information: • Your name, address and postcode, telephone number and e-mail address (if you have one) • Your policy and/or claim number, and the type of policy you hold • The reason for your complaint Any written correspondence should be headed ‘COMPLAINT’ and you may include copies of supporting material. Financial Ombudsman Service Should you remain dissatisfied following our written response, you may be eligible to refer your case to the Financial Ombudsman Service (FOS). The FOS is an independent body that arbitrates on complaints about general insurance products. You have six months from the date of our final response to refer your complaint to the FOS. This does not affect your right to take legal action. If we cannot resolve your complaint you may refer it to the Financial Ombudsman Service at the address given below: The Financial Ombudsman Service Exchange Tower Harbour Exchange Square London E14 9SR Tel: 0800 023 4567 - from UK landline Tel: 0300 123 9123 - from UK mobile Email: [email protected] Our promise to you We will • Acknowledge all complaints promptly. • Investigate quickly and thoroughly. • Keep you informed of progress. • Do everything possible to resolve your complaint. • Use the information form complaints to continuously improve our service. 45 Explorer Travel Insurance Sales +44 (0) 800 043 4003 Medical Emergency +44 (0) 20 8865 0436 See page 16 for full details Claims +44 (0) 1702 427172 explorerinsurance.co.uk Explorer Travel Insurance is a trading style of Explorer Insurance Services Limited. Reg in England and Wales No: 7496730. Reg Office: Millhouse, 32-38 East Street, Rochford, SS4 1DB. Explorer Insurance Services Limited is authorised and regulated by the Financial Conduct Authority. FCA Firm Reference Number 583108. SOLID P2
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